Individual provider Active NPI

Gathline Etienne, MD

  • Neurology Physician
  • Roswell, GA
National Provider Identifier
1366602005
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
070551 Issued in GA
Practice address
2500 Hospital Blvd Ste 440
Roswell, GA 30076-4919
Phone
(770) 663-4649
Fax
(770) 663-3930
NPI assigned
Jun 16, 2008
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 070551 GA Primary
Ophthalmology Physician 207W00000X ME107645 FL
Neurology Physician 2084N0400X 036173876 IL

Addresses

Primary practice location

2500 Hospital Blvd Ste 440
Roswell, GA 30076-4919

Mailing address

2500 Hospital Blvd Ste 440
Roswell, GA 30076-4919
Phone (770) 663-4649

Other practice location 1

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 644-1570

Other practice location 2

1741 Newnan Crossing Blvd E Ste G
Newnan, GA 30265-6601
Phone (678) 633-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, MI, WI, IL, OK, IN, TN8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20120815000141 FL Practitioner - NeurologyPractitioner - Ophthalmology 2961658562 Reassigns benefits to 2 organizations
I20131204002085 GA Practitioner - NeurologyPractitioner - Ophthalmology 2961658562 Reassigns benefits to 6 organizations
I20200325001588 MI Practitioner - Neurology 2961658562 Reassigns benefits to 7 organizations
I20240918001660 WI Practitioner - Neurology 2961658562 Reassigns benefits to 1 organization
I20250603003188 IL Practitioner - Neurology 2961658562 Reassigns benefits to 1 organization
I20260219000734 OK Practitioner - Neurology 2961658562 Reassigns benefits to 1 organization
I20260429003137 IN Practitioner - Neurology 2961658562 Reassigns benefits to 1 organization
I20260504004872 TN Practitioner - Neurology 2961658562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Ophthalmology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
McLaren Northern MichiganGroup PAC ID 9931018181, 60 clinicians
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

1255 Hwy 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-7000

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

22255 Greenfield Rd
Suite 550
Southfield, MI 48075-3730
Phone (844) 576-9226

2500 Hospital Blvd
Suite 440
Roswell, GA 30076-4919
Phone (770) 663-4649

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

520 W Main
Smithville, TN 37166
Phone (615) 215-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036173876ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Mar 15, 2026 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Presence Healthcare Services CurrentSince Apr 23, 2025 Accepting new patients
Scheurer Hospital CurrentSince Jun 1, 2025 Accepting new patients
Scheurer Hospital CurrentSince Jun 1, 2025 Accepting new patients
Scheurer Hospital Current Accepting new patients
Humphreys County Community Health Services Inc CurrentSince Aug 10, 2025 Accepting new patients
Saint Thomas Medical Partners CurrentSince Aug 10, 2025 Accepting new patients
Health Services of Central Georgia, Inc Ophthalmology CurrentSince Dec 1, 2023 Accepting new patients
Hickman Community Health Careservices CurrentSince Aug 10, 2025 Accepting new patients
Humphreys County Community Health Services, Inc. CurrentSince Aug 10, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Saint Thomas Hickman Hospital Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
North Atlanta Professional Services LLC CurrentSince Mar 31, 2019 Accepting new patients
Scheurer Hospital Neurology CurrentSince Aug 1, 2025 Accepting new patients
St. John Physicians, Inc. Neurology CurrentSince Mar 15, 2026 Accepting new patients
McLaren Northern Michigan CurrentSince Nov 3, 2024 Accepting new patients
Mymichigan Medical Center Saginaw Neurology CurrentSince Feb 24, 2025 Accepting new patients
Sacred Heart Health System Inc CurrentSince Feb 1, 2026 Accepting new patients
Billings Clinic CurrentSince May 21, 2025 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Dec 1, 2025 Accepting new patients
Scheurer Hospital Current Accepting new patients
Saint Thomas Medical Partners Neurology CurrentSince Aug 10, 2025 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Feb 24, 2025 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Jan 13, 2020 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Piedmont Providers LLC CurrentSince Oct 1, 2013 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Seton Health Corporation of Southeastern Michigan Neurology CurrentSince Jan 13, 2020 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Neurology CurrentSince Mar 1, 2024 Accepting new patients
Covenant Medical Center, Inc Neurology CurrentSince Mar 13, 2025 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Dec 1, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Oct 30, 2024 Accepting new patients
McLaren Northern Michigan CurrentSince Nov 3, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Oct 30, 2024 Accepting new patients
Presence Healthcare Services CurrentSince Apr 23, 2025 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Saint Thomas Hickman Hospital CurrentSince Aug 10, 2025 Accepting new patients
Billings Clinic Past Accepting new patients
University of Miami Past Accepting new patients

Locations (25 of 43)

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5153 N 9th Ave
Ste 404
Pensacola, FL 32504
Phone (850) 416-2554

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

2727 Paces Ferry Rd SE
Ste 2-500
Atlanta, GA 30339

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1741 Newnan Crossing Blvd E
Ste G
Newnan, GA 30265
Phone (678) 633-3500

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

2500 Hospital Blvd
Ste 440
Roswell, GA 30076
Phone (770) 663-4649

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

62311 Collection Ctr Dr
Chicago, IL 60693

9900 Birch Run Rd
Ste D
Birch Run, MI 48415
Phone (989) 624-1575

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301

Interoperability endpoints

  • Direct secure messaging: getienne1126391@direct.hfhs.org
  • Direct secure messaging: getienne177247@direct.covenanthealthcare.com

Organizations & group practices 44

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 44

Hospital & facility affiliations 4

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1366602005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD STE 440",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764919",
            "telephone_number": "770-663-4649",
            "fax_number": "770-663-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD STE 440",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764919",
            "telephone_number": "770-663-4649",
            "fax_number": "770-663-3930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 HOSPITAL BLVD",
            "address_purpose": "LOCATION",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764915",
            "country_code": "US",
            "telephone_number": "770-644-1570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1741 Newnan Crossing Blvd E Ste G",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302656601",
            "country_code": "US",
            "telephone_number": "678-633-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "GATHLINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "070551",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME107645",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036173876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.