Antoinette Denise Gamble, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN186234 Issued in GA

Practice address

1670 Clairmont Rd.
Decatur, GA 30033-4098

Phone

(404) 321-6111

NPI assigned

Oct 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1003003211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 MOUNT ZION RD APT 504",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814182",
            "telephone_number": "901-219-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CLAIRMONT RD.",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334098",
            "telephone_number": "404-321-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "ANTOINETTE",
        "middle_name": "DENISE",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN186234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benita Elaine Galloway, PHARM.D.
• Kevin Michael Galpin
• Hugo Alejandro Galvan, RBT
• Michael John Gambello, MD, PHD
• Tara Gambill, DPT
• Sara Lynn Gambone, CPNP-PC, APRN
• Bindiya Jay Gandhi, M.D.
• Dhaval Gandhi
• June Gandy, RN, MS, MIT, RAC-CT
• Ganesha RX Care Group 2, LLC

• Family Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.