Individual provider Active NPI

Gabrielle Nicole Stevens, CNP

  • Adult Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1386144848
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN213701 Issued in GA
Practice address
980 Johnson Ferry Rd Ste 900
Atlanta, GA 30342-4768
Phone
(404) 459-1900
Fax
(404) 459-1903
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN213701 GA Primary

Addresses

Primary practice location

980 Johnson Ferry Rd Ste 900
Atlanta, GA 30342-4768

Mailing address

980 Johnson Ferry Rd Ste 900
Atlanta, GA 30342-4768
Phone (404) 459-1900

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
I20181003002106 GA Practitioner - Nurse Practitioner 3577815455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

980 Johnson Ferry Rd
Suite 900
Atlanta, GA 30342-4768
Phone (404) 303-3750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN213701GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Hospice, LLC CurrentSince Jul 25, 2023 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Apr 3, 2018 Accepting new patients
First Class Healthcare LLC PastSince Sep 20, 2022 Accepting new patients

Locations

5550 Peachtree Pkwy
Ste 150
Peachtree Corners, GA 30092
Phone (770) 558-6202

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

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

980 Johnson Fy Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 459-1900

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.

Hospital & facility affiliations 2

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1386144848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424768",
            "telephone_number": "404-459-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424768",
            "telephone_number": "404-459-1900",
            "fax_number": "404-459-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "GABRIELLE",
        "middle_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN213701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.