Individual provider Active NPI

Sara Lynn Gambone, CPNP-PC, APRN

  • Pediatric Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1043899354
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN-NP261798 Issued in GA
Practice address
350 Winn Way
Decatur, GA 30030-2106
Phone
(813) 451-4372
NPI assigned
Apr 5, 2021
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN261798GAMDRegistered Nurse
APRN-NP261798GAMDPediatric 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.

Verify at the official NPI Registry.