G-1 HEALTHCARE LLC
NPI 1619614070
Clinic/Center - Primary Care in Demorest, GA

Active since May 17, 2022CLIA 11D2286003 · Waiver
225 ADAMS DR STE B, DEMOREST, GA 30535(706) 842-7571(706) 842-6173 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 13, 2025, Nov 7, 2024, Jun 5, 2023 and 3 more (6 updates tracked since 2022).

About G-1 Healthcare Llc NPPES

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

G-1 HEALTHCARE LLC (NPI 1619614070) is a healthcare organization registered as a primary care in Demorest, Georgia and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Ravinderpal K Gill, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1619614070
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameG-1 HEALTHCARE LLC
Location Address225 ADAMS DR STE BDemorest, GA 30535-4578
Mailing Address225 Adams Dr Ste BDemorest, GA 30535-4578 · (706) 842-7571 · Fax (706) 842-6173
Fax(706) 842-6173
Organization SubpartNo
Authorized OfficialRavinderpal K GillMedical Director · (706) 842-7571
Enumeration DateMay 17, 2022
Last NPPES UpdateFebruary 13, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1619614070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
225 ADAMS DR STE B, Demorest, GA 30535

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

G-1 Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to G-1 Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1992071096
225 ADAMS DR STE B
Demorest, GA 30535
(706) 842-7571
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2286003

G-1 Healthcare LLC · Demorest, GA
Active · expires Jul 20, 2027
CLIA Number11D2286003
Laboratory TypeClinic Group
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorRavinderpal Gill
Laboratory Phone(706) 842-7571
Laboratory LocationG-1 Healthcare LLC225 Adams Drive, Suite B, Demorest, GA 30535
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 G-1 Healthcare LLC's NPI number?

The NPI number for G-1 Healthcare LLC is 1619614070. It was assigned to this organization in the NPPES registry on May 17, 2022.

Where is G-1 Healthcare LLC located?

G-1 Healthcare LLC is located at 225 Adams Dr Ste B, Demorest, GA 30535. The listed phone number is (706) 842-7571.

What is G-1 Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is G-1 Healthcare LLC enrolled in Medicare?

Yes. G-1 Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through G-1 Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to G-1 Healthcare LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does G-1 Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2286003) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for G-1 Healthcare LLC was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.