Individual provider Active NPI

Ashley Gaines, NP-C

  • Family Nurse Practitioner
  • Peachtree Corners, GA
National Provider Identifier
1063874691
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN203842 Issued in GA
Practice address
5550 Peachtree Pkwy Ste 150
Peachtree Corners, GA 30092-2560
Phone
(770) 558-6202
NPI assigned
Mar 23, 2016
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN203842 GA Primary

Addresses

Primary practice location

5550 Peachtree Pkwy Ste 150
Peachtree Corners, GA 30092-2560

Mailing address

5550 Peachtree Pkwy Ste 150
Peachtree Corners, GA 30092-2560
Phone (770) 558-6202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160824002474 GA Practitioner - Nurse Practitioner 5991090300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone Hospice, LLCGroup PAC ID 0749585784, 6 clinicians

Practice addresses (Care Compare)

5550 Peachtree Pkwy
Suite 150
Peachtree Corners, GA 30092-2560
Phone (770) 558-6202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN203842GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Hospice, LLC CurrentSince Jul 25, 2023 Accepting new patients

Locations

5550 Peachtree Pkwy
Ste 150
Peachtree Corners, GA 30092
Phone (770) 558-6202

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1063874691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 PEACHTREE PKWY STE 150",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922560",
            "telephone_number": "770-558-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 PEACHTREE PKWY STE 150",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922560",
            "telephone_number": "770-558-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

Verify at the official NPI Registry.