1. Home
  2. Directory
  3. Georgia
  4. Thomaston
  5. Counselor
  6. NPI Profile

ROBERT R GAMBOA
NPI 1174220438
Counselor in Thomaston, GA

Active since February 07, 2023PECOS Enrolled
713 ANDREWS DR, THOMASTON, GA 30286(770) 358-5252 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Thomaston, 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 Address713 ANDREWS DRThomaston, GA 30286-4524
Mailing Address1435 N Expressway Ste 301Griffin, GA 30223-9014 · (770) 358-5252
Phone(770) 358-5252
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ 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.
713 ANDREWS DR, Thomaston, GA 30286
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

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.

STEPHANIE SMITH WHITE LPN
Licensed Practical Nurse
713 ANDREWS DR
THOMASTON, GA 30286
Upson County (770) 358-5252
MCINTOSH TRAIL CSB
Community/Behavioral Health
713 ANDREWS DR
THOMASTON, GA 30286
Upson County (770) 358-5252
SHAUNA JOHNSON APRN, PMHNP
Nurse Practitioner
713 ANDREWS DR
THOMASTON, GA 30286
Upson County (770) 358-5252
ANSLEY JOY BANNISTER LMSW
Social Worker
713 ANDREWS DR
THOMASTON, GA 30286
Upson County (770) 358-5252

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 713 Andrews Dr, Thomaston, GA 30286. The listed phone number is (770) 358-5252.

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.

When was this NPI record last updated?

The NPPES record for Robert Gamboa was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.