P Praxis·MD
● Active Type 1 · Individual

Robert R Gamboa

Counselor·Thomaston, GA· NPI 1174220438 · Enumerated 2023 · 3 years on NPI
Gamboa is 1 of 2 counselor providers in Thomaston and 1 of 1686 in Georgia.
NPI age
3 years
Enumerated 2023-02-07
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-02-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1686 active counselor providers in Georgia.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-02Enumerated in NPPES
2023 2026

Where they practice

Practice location
713 Andrews Dr
Thomaston, GA 302864524
📞 7703585252
Mailing address
1435 N Expressway Ste 301
Griffin, GA 302239014
📞 7703585252

Specialties

  • Counselor Primary
    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...
    GA license #APC008821 taxonomy 101Y00000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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