Active NPI
Gabriel Primary Care
- Family Medicine Physician
- Macon, GA
National Provider Identifier
1982306718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GABRIEL PRIMARY CARE
- Practice address
- 101 Gateway Drive
Macon, GA 31210 - Phone
- (478) 210-1670
- NPI assigned
- Mar 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sabry Gabriel, MD
- Title
- Owner
- Phone
- (478) 335-8311
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
101 Gateway Drive
Macon, GA 31210
Mailing address
101 Gateway Drive
Macon, GA 31210
Phone (478) 210-1670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230809000202 | GA | Part B Supplier - Clinic/Group Practice | 5294197265 |
Receives reassigned benefits from 7 practitioners Practice locations: Macon, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2283159 | Gabriel Primary Care | Registration | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
101 Gateway Dr
Macon, GA 31210
Phone (478) 210-1670
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Macon, GA
- NPI 1972476075
-
- Nurse Practitioner
- Macon, GA
- NPI 1831023217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1982306718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GATEWAY DRIVE",
"city": "MACON",
"state": "GA",
"postal_code": "31210",
"telephone_number": "478-210-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GATEWAY DRIVE",
"city": "MACON",
"state": "GA",
"postal_code": "31210",
"telephone_number": "478-210-1670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GABRIEL PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-17",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "GABRIEL",
"authorized_official_first_name": "SABRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-335-8311",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.