Individual provider Active NPI

Gabrielle Alyse Gunter, FNP-C

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1164952602
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN231197 Issued in GA
Practice address
2005 Pioneer St Ste C
Waycross, GA 31501-6205
Phone
(912) 490-4805
Fax
(912) 490-4806
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 RN231197 GA Primary

Addresses

Primary practice location

2005 Pioneer St Ste C
Waycross, GA 31501-6205

Mailing address

2005 Pioneer St Ste C
Waycross, GA 31501-6205
Phone (912) 490-4805

Other practice location 1

100 Doctors Dr Ste F
Douglas, GA 31533-2211
Phone (912) 383-6575

Other practice location 2

1622 Madison Ave
Tifton, GA 31794-3756
Phone (229) 387-8061

Other practice location 3

2804 N Oak St Ste C
Valdosta, GA 31602-5913
Phone (912) 383-6575

Other practice location 4

100 Doctors Dr Ste I
Douglas, GA 31533
Phone (912) 383-6575

Other practice location 5

100 Doctors Dr Ste I
Douglas, GA 31533
Phone (912) 383-6575

Other practice location 6

1724A Old Reynolds St
Waycross, GA 31501-1036
Phone (912) 383-6575

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
I20180718000380 GA Practitioner - Nurse Practitioner 6507113891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Memorial Satilla Specialists, LLCGroup PAC ID 5991074957, 19 clinicians

Practice addresses (Care Compare)

1908 Alice St
Waycross, GA 31501-6208
Phone (912) 338-6010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.07 of 100Reported as group
Quality
81.4
Promoting interoperability
99
Improvement activities
40
Cost
71.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Satilla Specialists, LLC CurrentSince Jul 22, 2024 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients

Locations

316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815

1908 Alice St
Waycross, GA 31501
Phone (912) 338-6010

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: gabrielle.gunter@hca5.eclinicaldirectplus.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.

Hospital & facility affiliations 1

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1164952602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PIONEER ST STE C",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016205",
            "telephone_number": "912-490-4805",
            "fax_number": "912-490-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PIONEER ST STE C",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016205",
            "telephone_number": "912-490-4805",
            "fax_number": "912-490-4806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Doctors Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332211",
            "country_code": "US",
            "telephone_number": "912-383-6575",
            "fax_number": "912-383-6476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1622 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317943756",
            "country_code": "US",
            "telephone_number": "229-387-8061",
            "fax_number": "912-388-5633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2804 N Oak St Ste C",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316025913",
            "country_code": "US",
            "telephone_number": "912-383-6575",
            "fax_number": "912-383-6476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Doctors Dr Ste I",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "31533",
            "country_code": "US",
            "telephone_number": "912-383-6575",
            "fax_number": "912-383-6476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Doctors Dr Ste I",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "31533",
            "country_code": "US",
            "telephone_number": "912-383-6575",
            "fax_number": "912-383-6476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1724A Old Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315011036",
            "country_code": "US",
            "telephone_number": "912-383-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNTER",
        "first_name": "GABRIELLE",
        "middle_name": "ALYSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN231197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.