Individual provider Active NPI

Gaynell Robinson, RN

  • Home Health Registered Nurse
  • Snellville, GA
National Provider Identifier
1407601339
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN186106 Issued in GA
Practice address
2398 Lenora Church Rd Ste 108
Snellville, GA 30078-6921
Phone
(770) 769-1728
Fax
(678) 828-5535
NPI assigned
Apr 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN186106 GA
Infusion Therapy Registered Nurse 163WI0500X RN186106 GA
Psychiatric/Mental Health Registered Nurse 163WP0808X RN186106 GA
Wound Care Registered Nurse 163WW0000X RN186106 GA
Home Health Registered Nurse 163WH0200X RN186106 GA Primary

Addresses

Primary practice location

2398 Lenora Church Rd Ste 108
Snellville, GA 30078-6921

Mailing address

2398 Lenora Church Rd Ste 108
Snellville, GA 30078-6921
Phone (770) 769-1728

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN186106GAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eternal Hill Hospice Care Inc Current Accepting new patients
Grace Hospice Services LLC Current Accepting new patients
Grace PRN LLC Registered Nurse CurrentSince Apr 28, 2024 Accepting new patients

Locations

2398 Lenora Church Rd
Ste 108
Snellville, GA 30078
Phone (470) 549-6063

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": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1407601339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 LENORA CHURCH RD STE 108",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786921",
            "telephone_number": "770-769-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 LENORA CHURCH RD STE 108",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786921",
            "telephone_number": "770-769-1728",
            "fax_number": "678-828-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "GAYNELL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN186106",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "GA",
            "license": "RN186106",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN186106",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "GA",
            "license": "RN186106",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN186106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.