Individual provider Active NPI

Gabrielle Stiehle

  • Family Nurse Practitioner
  • Brookhaven, GA
National Provider Identifier
1134963234
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN306445 Issued in GA
Practice address
4400 Peachtree Rd NE
Brookhaven, GA 30319-2729
Phone
(404) 814-9199
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 RN306445 GA Primary

Addresses

Primary practice location

4400 Peachtree Rd NE
Brookhaven, GA 30319-2729

Mailing address

4400 Peachtree Rd NE
Brookhaven, GA 30319-2729
Phone (404) 814-9199

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
I20240717003910 GA Practitioner - Nurse Practitioner 9537604202 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN306445GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Jul 2, 2024 Accepting new patients
Reproductive Health Medicine & Gynecology Past Accepting new patients

Locations

4400 Peachtree Rd NE
Brookhaven, GA 30319
Phone (404) 814-9199

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

Interoperability endpoints

  • Direct secure messaging: gabrielle.stiehle.1@22215.direct.athenahealth.com

Organizations & group practices 2

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1134963234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 PEACHTREE RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192729",
            "telephone_number": "404-814-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 PEACHTREE RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192729",
            "telephone_number": "404-814-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEHLE",
        "first_name": "GABRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN306445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

Verify at the official NPI Registry.