Mary Suzanne Gamel, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN139591NP Issued in GA

Practice address

1512 Highway 19 N
Thomaston, GA 30286

Phone

(706) 647-2641

Fax

(706) 647-2680

NPI assigned

Jan 24, 2012

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Upson Family Medical Center, LLCGroup PAC ID 9032472824, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Upson Family Medical Center ,LLC

  • Family Medicine Physician
  • Thomaston, GA
  • NPI 1124528344
  Medicare reassignment Care Compare group NPD
• Upson Womens Services LLC

  • Obstetrics & Gynecology Physician
  • Thomaston, GA
  • NPI 1881842821
  Medicare reassignment NPD
• Upson Family Physicians, LC

  • Family Medicine Physician
  • Thomaston, GA
  • NPI 1083842918
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upson County Hospital Inc

  dba Upson Regional Medical Center

  • General Acute Care Hospital
  • Thomaston, GA
  • NPI 1659376630
  Care Compare affiliation

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1073884987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HIGHWAY 19 N",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862258",
            "telephone_number": "706-647-2641",
            "fax_number": "706-647-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 HIGHWAY 19 N",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "30286",
            "telephone_number": "706-647-2641",
            "fax_number": "706-647-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1657 N Expressway",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302231276",
            "country_code": "US",
            "telephone_number": "770-228-2641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMEL",
        "first_name": "MARY",
        "middle_name": "SUZANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN139591NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cheryl Dawn Wilkins Gillespie, LDO

• Family Nurse Practitioner in Thomaston, GA
• Providers in Thomaston, 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 Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.