Active NPI
Sara Lynn Gambone, CPNP-PC, APRN
- Pediatric Nurse Practitioner
- Decatur, GA
National Provider Identifier
1043899354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN-NP261798
- Practice address
- 350 Winn Way
Decatur, GA 30030-2106 - Phone
- (813) 451-4372
- NPI assigned
- Apr 5, 2021
- Last updated
- Nov 6, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN-NP261798 | GA | Primary |
| Registered Nurse | 163W00000X | RN261798 | GA |
Addresses
Primary practice location
350 Winn Way
Decatur, GA 30030-2106
Mailing address
350 Winn Way
Decatur, GA 30030-2106
Phone (813) 451-4372
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN261798 | GA | MD | Registered Nurse |
| APRN-NP261798 | GA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1043899354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302106",
"telephone_number": "813-451-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302106",
"telephone_number": "813-451-4372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBONE",
"first_name": "SARA",
"middle_name": "LYNN",
"credential": "CPNP-PC, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "APRN-NP261798",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN261798",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.