ROGER ROBERT GILLIS LPC
NPI 1629800255
Counselor - Mental Health in Waycross, GA
About Roger Robert Gillis Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROGER ROBERT GILLIS LPC (NPI 1629800255) is an individual mental health provider in Waycross, Georgia and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Roger Robert Gillis Lpc 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAYCROSS, GA 31503
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 Roger Gillis's NPI number?
The NPI number for Roger Gillis is 1629800255. It was assigned to this individual provider in the NPPES registry on August 14, 2024.
Where is Roger Gillis located?
Roger Gillis practices at 1007 Mary St, Waycross, GA 31503. The listed phone number is (912) 449-7100.
What is Roger Gillis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Roger Gillis enrolled in Medicare?
Yes. Roger Gillis 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 Roger Gillis was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Roger Robert Gillis, LPC · NPI 1629800255
Mental Health provider in Waycross, Georgia. Individual provider, active in the CMS NPPES registry since August 14, 2024.
## Identity
- **NPI:** 1629800255 (Entity type: Individual)
- **Enumerated:** August 14, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1007 MARY ST, Waycross, GA 31503-3823
- **Phone:** (912) 449-7100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629800255) · Data from the CMS NPPES public registry.