MRS. ELISABETH JACKSON GAINES I PA-C
NPI 1194706234
Physician Assistant in Douglasville, GA

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
4586 TIMBER RIDGE DR STE 200, DOUGLASVILLE, GA 30135(770) 942-0457(770) 942-7699 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 7, 2020, Aug 18, 2020, May 7, 2020 and 1 more (4 updates tracked since 2019).

About Mrs. Elisabeth Jackson Gaines I Pa-c NPPES

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

MRS. ELISABETH JACKSON GAINES I PA-C (NPI 1194706234) is an individual physician assistant in Douglasville, Georgia, licensed in Georgia (003791) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1999).

NPPES Registry Identity

NPI1194706234
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ELISABETH JACKSON GAINES ICredential: PA-C
Location Address4586 TIMBER RIDGE DR STE 200Douglasville, GA 30135-7514
Mailing Address1835 Savoy Dr, Suite 300Atlanta, GA 30341-1072 · (770) 942-0457 · Fax (770) 942-7699
Fax(770) 942-7699
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1999
Enumeration DateNovember 7, 2005
Last NPPES UpdateDecember 7, 20204 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
NPI 1194706234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 003791
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4586 TIMBER RIDGE DR STE 200, Douglasville, GA 30135

Other Identifiers 2

Medicaid003101476BGA
Other202I970546GA · Medicare Ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Elisabeth Jackson Gaines I Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264527779
PECOS Enrollment IDI20070928000238
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30135 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
4586 TIMBER RIDGE DR STE 200
DOUGLASVILLE, GA 30135
Pharmacist (Oncology)
4586 TIMBER RIDGE DR STE 200
DOUGLASVILLE, GA 30135
Internal Medicine (Hematology & Oncology)
4586 TIMBER RIDGE DR STE 200
DOUGLASVILLE, GA 30135

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 Elisabeth Gaines's NPI number?

The NPI number for Elisabeth Gaines is 1194706234. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Elisabeth Gaines located?

Elisabeth Gaines practices at 4586 Timber Ridge Dr Ste 200, Douglasville, GA 30135. The listed phone number is (770) 942-0457.

What is Elisabeth Gaines's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elisabeth Gaines enrolled in Medicare?

Yes. Elisabeth Gaines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elisabeth Gaines was last updated on December 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.