Individual provider Active NPI

Susan Blair Gause, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1164030953
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
261236 Issued in GA
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

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
261236GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Care Atl Psychiatric/Mental Health CurrentSince Feb 23, 2025 Accepting new patients
Talbott Recovery Campus PastSince Feb 2, 2020 Accepting new patients
Talbott Dunwoody PastSince Feb 2, 2020 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.

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.

Verify at the official NPI Registry.