Active NPI
Gayla Darnell Gates, MD
- Family Medicine Physician
- Jonesboro, GA
National Provider Identifier
1306961164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 065111
- Practice address
- 2400 Mt. Zion Parkway
Kaiser Permanente Southwood Medical Office
Jonesboro, GA 30236 - Phone
- (770) 603-3606
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 92190 | OH | |
| Family Medicine Physician | 207Q00000X | 065111 | GA | Primary |
Addresses
Primary practice location
2400 Mt. Zion Parkway
Kaiser Permanente Southwood Medical Office
Jonesboro, GA 30236
Mailing address
3495 Piedmont Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7070
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065111 | GA | MD | Family Medicine Physician |
| 92190 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1306961164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT ROAD, NE",
"address_2": "NINE PIEDMONT CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-364-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MT. ZION PARKWAY",
"address_2": "KAISER PERMANENTE SOUTHWOOD MEDICAL OFFICE",
"city": "JONESBORO",
"state": "GA",
"postal_code": "30236",
"telephone_number": "770-603-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "GAYLA",
"middle_name": "DARNELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "92190",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "065111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.