DR. ROBERT CLAYTON GAMBRELL (NPI# 1952353542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952353542 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CLAYTON GAMBRELL |
| Credential | MD |
| Practice Address |
1706 Magnolia Way Augusta GA 30909-9481 |
| Practice Telephone | 7062107529 |
| Practice Fax Number | 7063127610 |
| Mailing Telephone | 7062107529 |
| Mailing Fax Number | 7063127610 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
28706 | SC | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036747 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | G36747 | 05 | |
| GA | 000612411D | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 211 High Gate Loop, Aiken, SC 298033921 | 8032931160 | 8032931130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942680095 | Robert Gambrell | Counselor | 8980 Old Annapolis Rd, B, Columbia, MD 21045-2115 | 2015-06-04 |
| Street Address |
1706 MAGNOLIA WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-9481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740266055 | Stephen W Seward | Physical Therapist | 1706 Magnolia Way, Augusta, GA 30909-9481 | 2005-12-19 |
| 1326523812 | Beth Michelle Sawyer | Physical Therapist | 1706 Magnolia Way, Augusta, GA 30909-9481 | 2018-10-01 |
| 1679073068 | Lynn M Facey | Physical Therapy Assistant | 1706 Magnolia Way, Augusta, GA 30909-9481 | 2018-02-13 |
| 1104277698 | Laura Lynn Holshouser | Physical Therapist | 1706 Magnolia Way, Augusta, GA 30909-9481 | 2016-06-25 |
| 1396023537 | Brittany Videtto Morris | Physical Therapy Assistant | 1706 Magnolia Way, Augusta, GA 30909-9481 | 2011-07-21 |
| 1205125648 | Elizabeth Mcgahee Heath | Physical Therapist | 1706 Magnolia Way, Augusta, GA 30909-9481 | 2011-04-06 |
| 1457665523 | Joshua Albert Raines | Physical Therapist | 1706 Magnolia Way, Augusta, GA 30909-9481 | 2010-08-01 |
| 1255565503 | Sports Medicine Associates of Augusta, LLC | Family Medicine | 1706 Magnolia Way, Augusta, GA 30909-9481 | 2009-05-14 |
| 1104070549 | Keith Chandler Taylor | Specialist/Technologist | 1706 Magnolia Way, Augusta, GA 30909 | 2008-11-12 |
| 1285752626 | Earl Bruce Chapman | Physical Therapy Assistant | 1706 Magnolia Way, Augusta, GA 30909 | 2007-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104289990 | Stefanie Lauren Lewis | Family Medicine | 6 E Chestnut St, Augusta, ME 04330-5758 | 2016-03-30 |
| 1407176175 | Robert B Stevens | Family Medicine | 35 Medical Center Pkwy, Augusta, ME 04330 | 2010-06-04 |
| 1255565503 | Sports Medicine Associates of Augusta, LLC | Family Medicine | 1706 Magnolia Way, Augusta, GA 30909-9481 | 2009-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306108279 | Casey Wagner | Family Medicine | 7813 Spivey Station Blvd Ste 220, Jonesboro, GA 30236 | 2012-06-15 |
| 1831422682 | Koji Nishimura | Family Medicine | Commander, Usameddac and Martin Army Community Hospital, 7950 Martin Loop, Fort Benning, GA 31905 | 2009-09-11 |
| 1073787305 | Mark James Sakr | Family Medicine | 3400 Old Milton Pkwy Ste C190, Alpharetta, GA 30005-4481 | 2008-04-17 |
| 1104009059 | Northeast Georgia Physicians Group, Inc. | Family Medicine | 115 Towne Center Pkwy, Suite 113, Hoschton, GA 30548-2213 | 2007-12-14 |
| 1366549073 | Michael Joseph Huey | Family Medicine | Emory University Student Health Services, 1525 Clifton Road, Atlanta, GA 30322-0001 | 2006-09-17 |
| 1942234281 | Charles Edward Garten II | Family Medicine | 3200 Downwood Cir Nw Ste 340, Atlanta, GA 30327-1605 | 2006-07-11 |
| 1477597979 | John M. Henderson Sr. | Family Medicine | 1900 10th Ave Suite 320, Columbus, GA 31901 | 2006-06-15 |
| 1609843481 | Tracy R Ray | Family Medicine | 1305 Jennings Mill Rd Ste 110, Watkinsville, GA 30677-7241 | 2006-03-01 |
| 1982679684 | John Michael Buchanan | Family Medicine | 3575 Braselton Hwy, Dacula, GA 30019-1155 | 2006-02-17 |
| 1770562852 | Neeru Jayanthi | Family Medicine | 6335 Hospital Pkwy Ste 302, Emory Orthopaedics, Sports, Spine, Johns Creek, GA 30097-5712 | 2006-01-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.