Active NPI
Gaelle Laure Essenam Gounteni, PMHNP-BC
- Psychiatry Physician
- Smyrna, GA
National Provider Identifier
1114677705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- RN270365
- Practice address
- 4125 Atlanta Rd SE Ste 120
Smyrna, GA 30080-6521 - Phone
- (770) 858-5377
- NPI assigned
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | RN270365 | GA | Primary |
Addresses
Primary practice location
4125 Atlanta Rd SE Ste 120
Smyrna, GA 30080-6521
Mailing address
PO Box 726
Acworth, GA 30101-0726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN270365 | Other | GA | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EclinicalEMR | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| RN270365 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgepoint Clinic | Single Specialty | Current | Accepting new patients |
Locations
4125 Atlanta Rd SE
Ste 120
Smyrna, GA 30080
Phone (770) 858-5377
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFJICD/Endpoint/JFJICD
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1114677705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 726",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301010726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4125 ATLANTA RD SE STE 120",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806521",
"telephone_number": "770-858-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUNTENI",
"first_name": "GAELLE LAURE",
"middle_name": "ESSENAM",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "RN270365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "RN270365",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EclinicalEMR",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4125 Atlanta Rd SE Ste 120",
"city": "Smyrna",
"state": "GA",
"country_code": "US",
"postal_code": "300806521",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.