Active NPI
Carol A Gourley, CNM
- Midwife
- Atlanta, GA
National Provider Identifier
1023069820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- RN096387
- Practice address
- 550 Peachtree St
Atlanta, GA 30308-2225 - Phone
- (404) 686-3643
- Fax
- (404) 778-4819
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | RN096387 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St
Atlanta, GA 30308-2225
Mailing address
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN096387 | GA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023069820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013",
"telephone_number": "404-778-7402",
"fax_number": "404-778-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082225",
"telephone_number": "404-686-3643",
"fax_number": "404-778-4819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOURLEY",
"first_name": "CAROL",
"middle_name": "A",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "GA",
"license": "RN096387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.