MEDICARE: GAYTON HEALTH CENTRE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist		GA
2	207W00000X	Ophthalmology Physician		GA

General Provider Information

NPI Number	:	1801860796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAYTON HEALTH CENTRE, PC

Provider Business Mailing Address
First Line	:	PO BOX 6479
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31095-6479
Country	:	US
Telephone Number	:	478-551-4642
Fax Number	:	478-929-6266

Provider Business Practice Location Address
First Line	:	216 CORDER RD
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31088-3604
Country	:	US
Telephone Number	:	478-923-5872
Fax Number	:	478-929-6266

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	ALISHA STONE
Credential	:
Telephone Number	:	478-551-4642

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	02/04/2026

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