DR. JAMES BROWN GILBERT III M.D.
NPI 1093927097
Pediatrics in Baldwin, GA

Q: What is James Gilbert's NPI number?

The NPI number for James Gilbert is 1093927097. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Q: What is James Gilbert's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for James Gilbert was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 04, 2007PECOS Enrolled

76.58/100

CMS Quality Rating

155 PROFESSIONAL DR, BALDWIN, GA 30511(706) 776-2368(706) 776-2589 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 25, 2025, Aug 17, 2023, Jul 8, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Dr. James Brown Gilbert Iii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES BROWN GILBERT III M.D. (NPI 1093927097) is an individual pediatrics provider in Baldwin, Georgia, licensed in Georgia (044464) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1093927097

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JAMES BROWN GILBERT IIICredential: M.D.

Location Address155 PROFESSIONAL DRBaldwin, GA 30511-4000

Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 533-4786

Phone(706) 776-2368

Fax(706) 776-2589

Sole ProprietorNo

Enumeration DateMay 4, 2007

Last NPPES UpdateNovember 25, 20255 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1093927097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 044464

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

155 PROFESSIONAL DR, Baldwin, GA 30511

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Secondary Practice Locations 7

Location 14019 Executive DriveOakwood, GA 30566-3433 · Phone (770) 533-6500 · Fax (770) 533-6543

Location 2300 Dawson Commons Cir Ste 320Dawsonville, GA 30534-6268 · Phone (706) 216-2771 · Fax (706) 216-2994

Location 31400 River PlBraselton, GA 30517-5600 · Phone (770) 535-3611 · Fax (770) 535-7092

Location 4725 Jesse Jewell Pkwy SEGainesville, GA 30501-3834 · Phone (770) 535-3611 · Fax (770) 535-7092

Location 5743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 535-3611 · Fax (770) 535-7092

Location 64095 S Lee StBuford, GA 30518-3647 · Phone (770) 932-8519 · Fax (770) 533-4798

Location 71270 Friendship RdBraselton, GA 30517-5630 · Phone (678) 207-4200 · Fax (770) 533-4771

Other Identifiers 8

Medicaid000763199MGA

Medicaid000763199EGA

Medicaid000763199LGA

Medicaid000763199GGA

Medicaid000763199JGA

Medicaid000763199IGA

Medicaid000763199KGA

Medicaid000763199HGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Brown Gilbert Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.63

Promoting Interoperability

Improvement Activities

Cost

72.14

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARRICK KEITH BAILEY MD

Pediatrics

155 PROFESSIONAL DR
BALDWIN, GA 30511

Habersham County (706) 776-2368

CHRISTY A FLOYD R.N., CPNP-PC

Nurse Practitioner (Pediatrics)

155 PROFESSIONAL DR
BALDWIN, GA 30511

Habersham County (706) 776-2368

CHERYL GLOVER

Nurse Practitioner (Pediatrics)

155 PROFESSIONAL DR
BALDWIN, GA 30511

Habersham County (706) 776-2368

AMY BECK CONNER CPNP-PC

Nurse Practitioner (Pediatrics)

155 PROFESSIONAL DR
BALDWIN, GA 30511

Habersham County (706) 776-2368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Gilbert's NPI number?

The NPI number for James Gilbert is 1093927097. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is James Gilbert located?

James Gilbert practices at 155 Professional Dr, Baldwin, GA 30511. The listed phone number is (706) 776-2368.

What is James Gilbert's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Gilbert enrolled in Medicare?

Yes. James Gilbert is registered in the Medicare PECOS enrollment system.

What insurance does James Gilbert accept?

Health plans from Alliant Health Plans, Inc. and Moda Health Plan, Inc. list James Gilbert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Gilbert was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.