Active NPI
Susan Blair Gause, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Decatur, GA
National Provider Identifier
1164030953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 261236
- Practice address
- 315 W Ponce de Leon Ave Ste 546
Decatur, GA 30030-2448 - Phone
- (404) 997-8043
- Fax
- (949) 757-8783
- NPI assigned
- Jul 17, 2020
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 261236 | GA | Primary |
Addresses
Primary practice location
315 W Ponce de Leon Ave Ste 546
Decatur, GA 30030-2448
Mailing address
207 Van Ness
Peachtree City, GA 30269-2134
Phone (706) 350-9954
Other practice location 1
5355 Hunter Rd
Atlanta, GA 30349-2594
Phone (678) 251-3100
Other names 1
- Susan Blair
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)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261236 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Care Atl | Psychiatric/Mental Health | Current | Accepting new patients |
| Talbott Recovery Campus | Past | Accepting new patients | |
| Talbott Dunwoody | Past | Accepting new patients |
Locations
315 W Ponce de Leon Ave
Ste 546
Decatur, GA 30030
Phone (404) 997-8043
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Decatur, GA
- NPI 1912574732
-
- Community/Behavioral Health Agency
- Dunwoody, GA
- NPI 1770033425
-
- Psychiatric Hospital
- Atlanta, GA
- NPI 1336114321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1164030953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 VAN NESS",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302692134",
"telephone_number": "706-350-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W PONCE DE LEON AVE STE 546",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302448",
"telephone_number": "404-997-8043",
"fax_number": "949-757-8783"
}
],
"practiceLocations": [
{
"address_1": "5355 Hunter Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303492594",
"country_code": "US",
"telephone_number": "678-251-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAUSE",
"first_name": "SUSAN",
"middle_name": "BLAIR",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "261236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "BLAIR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.