JENNIFER GAMBLE (PA) – Physician Assistant, NPI 1558143032

JENNIFER GAMBLE (PA) is a healthcare provider. based in Evans, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 11977 (GA). The NPI Number for JENNIFER GAMBLE (PA) is 1558143032

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER GAMBLE (PA)
NPI
1558143032
Phone
(706) 829-3211
Address
4381 LAKE IDYLWILDE DR
Enumeration Date
18 October 2023
Last Update Date
28 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725446600
Graduation Year
2023 (3 years ago)
PAC ID
3274982590
Group Practice PAC ID
4688021306
Professional Enrollment ID
I20241213001258
Address ID
TX761043196FO1023XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for JENNIFER GAMBLE (PA)

  • 4381 LAKE IDYLWILDE DR

    EVANS, GA 308093047

    Phone: (706) 829-3211

    Type: Mailing

  • 95 COLLIER RD NW STE 2065

    ATLANTA, GA 303091705

    Phone: (404) 605-2800

    Type: Location

  • 275 Collier Rd NW Ste 500

    Atlanta, GA 303091711

    Phone: (404) 605-2800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: ABIOMED ($247).

Total Amount

$247

General + Research + Ownership

Payments

6

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$247
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231212003667IPhysician AssistantGATBD
I20241213001258IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30809)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688021306View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Internal MedicineNY
Internal MedicineTX
Physician AssistantTX
Internal MedicineTX
Internal MedicineTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

What identifier follows JENNIFER GAMBLE (PA) across health systems?
The NPI 1558143032 uniquely identifies JENNIFER GAMBLE (PA) in U.S. healthcare data.
Does the public listing show JENNIFER GAMBLE (PA) as active?
JENNIFER GAMBLE (PA)'s NPI record reflects an active status in NPPES.
What type of care does JENNIFER GAMBLE (PA) provide?
JENNIFER GAMBLE (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit JENNIFER GAMBLE (PA) in Evans, Georgia?
For routing, start with Evans, Georgia for JENNIFER GAMBLE (PA), then verify phone and hours locally.
Can I export JENNIFER GAMBLE (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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