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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROBERT R GAMBOA
NPI 1174220438
Counselor in Warner Robins, GA

Active since February 07, 2023PECOS Enrolled
404 CORDER RD STE 300, WARNER ROBINS, GA 31088(478) 449-1475(877) 712-4794 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Feb 7, 2023 (2 updates tracked since 2023).

About Robert R Gamboa NPPES

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

ROBERT R GAMBOA (NPI 1174220438) is an individual counselor in Warner Robins, Georgia, licensed in Georgia (APC008821) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174220438
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameROBERT R GAMBOA
Location Address404 CORDER RD STE 300Warner Robins, GA 31088-7195
Mailing Address404 Corder Rd Ste 300Warner Robins, GA 31088-7195 · (478) 449-1475 · Fax (877) 712-4794
Phone(478) 449-1475
Fax(877) 712-4794
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 7, 2023
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1174220438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in GA · APC008821
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
404 CORDER RD STE 300, Warner Robins, GA 31088
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert R Gamboa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951883388
PECOS Enrollment IDI20260305000214
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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Gamboa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcintosh Trail Community Service Board
50 mi
Community/Behavioral Health
463 ERNEST BILES DR, SUITE B
Jackson, GA 30233
  • Reassigned Medicare billing, Georgia enrollment
  • 49 clinicians in this Medicare group
NPI 1265610406 (770) 775-2676

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

SARAH LASTING MFT
Marriage & Family Therapist
404 CORDER RD STE 300
WARNER ROBINS, GA 31088
Houston County (478) 449-1475
AMANDA CHASE
Social Worker (Clinical)
404 CORDER RD STE 300
WARNER ROBINS, GA 31088
Houston County (478) 449-1475
JANELL MILLS
Marriage & Family Therapist
404 CORDER RD STE 300
WARNER ROBINS, GA 31088
Houston County (478) 449-1475
MORGAN PILKINTON
Behavior Technician
404 CORDER RD STE 300
WARNER ROBINS, GA 31088
Houston County (800) 832-9419
SAMANTHA MEDINA
Behavior Technician
404 CORDER RD STE 300
WARNER ROBINS, GA 31088
Houston County (800) 832-9419
SOUTHERN BRIDGE INC
Community/Behavioral Health
404 CORDER RD STE 300
WARNER ROBINS, GA 31088
Houston County (478) 283-8322
SIGOURNEY WASHINGTON
Counselor (Professional)
404 CORDER RD STE 300
WARNER ROBINS, GA 31088
Houston County (478) 449-1475
JEAN GEHERIN HATT LPC, CPCS
Counselor (Professional)
404 CORDER RD STE 300
WARNER ROBINS, GA 31088
Houston County (478) 449-1475

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 Robert Gamboa's NPI number?

The NPI number for Robert Gamboa is 1174220438. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Robert Gamboa located?

Robert Gamboa practices at 404 Corder Rd Ste 300, Warner Robins, GA 31088. The listed phone number is (478) 449-1475.

What is Robert Gamboa's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Robert Gamboa enrolled in Medicare?

Yes. Robert Gamboa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Gamboa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Gamboa reassigns Medicare benefits to Mcintosh Trail Community Service Board (Jackson, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Gamboa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Gamboa accept?

Health plans from UnitedHealthcare list Robert Gamboa 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 Robert Gamboa was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.