Individual provider Active NPI

Gayla Denise Sylvain, MD

  • Internal Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1104925106
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039958 Issued in GA
Practice address
1325 Rock Quarry Rd
Suite 200
Stockbridge, GA 30281-5088
Phone
(770) 389-0734
Fax
(770) 389-5364
NPI assigned
Sep 22, 2006
Last updated
Dec 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 039958 GA Primary

Addresses

Primary practice location

1325 Rock Quarry Rd
Suite 200
Stockbridge, GA 30281-5088

Mailing address

1325 Rock Quarry Rd
Suite 200
Stockbridge, GA 30281-5088
Phone (770) 389-0734

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818001064 GA Practitioner - Internal Medicine 6002889821 Reassigns benefits to 1 organization
Practice locations: Stockbridge, GA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eagle's Landing Longevity CenterGroup PAC ID 2860776242, 2 clinicians

Practice addresses (Care Compare)

1325 Rock Quarry Rd
Suite 200
Stockbridge, GA 30281-5033
Phone (770) 389-0734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal29
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle's Landing Longevity Center Internal Medicine CurrentSince Jan 5, 2017 Accepting new patients
Evolutio Wellness LLC PastSince Nov 8, 2025 Accepting new patients
Wellhealth Chiropractic Center PastSince Apr 16, 2012 Accepting new patients

Locations

1325 Rock Quarry Rd
Ste 200
Stockbridge, GA 30281
Phone (770) 389-0734

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1104925106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 ROCK QUARRY RD",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815088",
            "telephone_number": "770-389-0734",
            "fax_number": "770-389-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 ROCK QUARRY RD",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815088",
            "telephone_number": "770-389-0734",
            "fax_number": "770-389-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVAIN",
        "first_name": "GAYLA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "039958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.