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MAKALA RAVEN GORE PA
NPI 1861289571
Physician Assistant in Newnan, GA

Active since April 24, 2025PECOS EnrolledAccepts Medicare Assignment
775 POPLAR RD STE 160A, NEWNAN, GA 30265(770) 400-4630 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Makala Raven Gore Pa NPPES

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

MAKALA RAVEN GORE PA (NPI 1861289571) is an individual physician assistant in Newnan, Georgia and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newnan Hospital, Inc, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861289571
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAKALA RAVEN GORECredential: PA
Location Address775 POPLAR RD STE 160ANewnan, GA 30265-8302
Mailing Address775 Poplar Rd Ste 160aNewnan, GA 30265-8302 · (770) 400-4630
Phone(770) 400-4630
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 24, 2025
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1861289571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
775 POPLAR RD STE 160A, Newnan, GA 30265
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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

Makala Raven Gore Pa 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 ID6204334907
PECOS Enrollment IDI20250812002269
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Sherry ***** May 21, 2026

5/5
I love the fact that the moment she walked into the room you knew that you matter to her and that she would do whatever it took you to get it done.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

CHRISTOPHER STILES WILLIAMSON NP
Nurse Practitioner
775 POPLAR RD STE 160A
NEWNAN, GA 30265
Coweta County (770) 400-4630
JOY LYNN JONES FNP, BSN
Nurse Practitioner (Family)
775 POPLAR RD STE 160A
NEWNAN, GA 30265
Coweta County (770) 400-4630
MR. ZENEBE G WOLDEGEBRIEL NP
Nurse Practitioner
775 POPLAR RD STE 160A
NEWNAN, GA 30265
Coweta County (770) 400-4630

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 Makala Gore's NPI number?

The NPI number for Makala Gore is 1861289571. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Makala Gore located?

Makala Gore practices at 775 Poplar Rd Ste 160A, Newnan, GA 30265. The listed phone number is (770) 400-4630.

What is Makala Gore's specialty?

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

Is Makala Gore enrolled in Medicare?

Yes. Makala Gore 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.

Is Makala Gore affiliated with any hospitals?

According to CMS data, Makala Gore is affiliated with Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Makala Gore was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.