Jamie Gober

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA1230 Issued in AL

Practice address

700 Montgomery Hwy
Suite 210
Vestavia, AL 35216-1866

Phone

(205) 823-0151

Fax

(205) 823-5218

NPI assigned

May 4, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aqua Dermatology of Alabama PCGroup PAC ID 9436211463, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aqua Dermatology of Alabama PC

  • MOHS-Micrographic Surgery Physician
  • Vestavia HLS, AL
  • NPI 1477708642
  Medicare reassignment Care Compare group
• Cutaneous Oncology & Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Vestavia HLS, AL
  • NPI 1699139915
  NPD (past)
• Olive Branch Dermatology LLC

  • Dermatology Physician
  • Hoover, AL
  • NPI 1750197794
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1902332364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MONTGOMERY HWY",
            "address_2": "SUITE 210",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161866",
            "telephone_number": "205-823-0151",
            "fax_number": "205-823-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MONTGOMERY HWY",
            "address_2": "SUITE 210",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161866",
            "telephone_number": "205-823-0151",
            "fax_number": "205-823-5218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Stonegate Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hls",
            "state": "AL",
            "postal_code": "352422541",
            "country_code": "US",
            "telephone_number": "205-977-9876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOBER",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilmore Physical Therapy and Wellness LLC
• Jenaiya Gipson
• Meagan Crockett Gipson, M.S. CCC-SLP
• Anna Glenn
• Aiyeem Glover
• God'S Sitting Partners, LLC
• Megan Lindsey North Goetz, CRNP
• Avery Goggans, M.S.,CCC-SLP
• Teashia Adkins Goodwin, PHD
• Rebecca Graboys

• Surgical Physician Assistant in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.