Individual provider Active NPI

Kamla Gonzales, NP

  • Adult Health Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1417445206
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN249592 Issued in GA
Practice address
5146 Miller Woods TRL
Decatur, GA 30035
Phone
(347) 528-4006
NPI assigned
Apr 26, 2018
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 113293-23 NH
Acute Care Nurse Practitioner 363LA2100X RN249592 GA
Adult Health Nurse Practitioner 363LA2200X RN249592 GA Primary

Addresses

Primary practice location

5146 Miller Woods TRL
Decatur, GA 30035

Mailing address

5146 Miller Woods TRL
Decatur, GA 30035-3746
Phone (347) 528-4006

Other practice location 1

3320 Old Jefferson Rd Ste 200
Athens, GA 30607
Phone (706) 549-5560

Other practice location 2

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190618000707 GA Practitioner - Nurse Practitioner 6204169139 Reassigns benefits to 7 organizations
I20250219002944 NH Practitioner - Nurse Practitioner 6204169139 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Valley Regional Hospital IncGroup PAC ID 5799683280, 33 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

243 Elm St
Claremont, NH 03743-4921
Phone (603) 542-7771

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN249592GAMDAcute Care Nurse Practitioner
113293-23NHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Anemonefish Inpatient Services LLC CurrentSince Feb 1, 2021 Accepting new patients
Southern Regional Physicians Management Group, LLC CurrentSince Apr 1, 2019 Accepting new patients
Covenant Medical Group LLC CurrentSince Jun 7, 2025 Accepting new patients
Valley Regional Hospital Inc. CurrentSince Jan 14, 2026 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Mar 6, 2023 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Feb 14, 2025 Accepting new patients
Cogent Healthcare of Georgia PC CurrentSince Jan 1, 2021 Accepting new patients
Apogee Medical Group Georgia Inc CurrentSince Jul 31, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 14, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 14, 2025 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Aug 18, 2023 Accepting new patients
Bruce J Lewis M.D. Current Accepting new patients
Valley Regional Hospital ,Inc. CurrentSince Jan 14, 2026 Accepting new patients
Allatoona Physician Services PC Past Accepting new patients

Locations

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

483 Upper Riverdale Rd SW
Ste L
Riverdale, GA 30274
Phone (770) 742-3883

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

62742 Collections Ctr Dr
Chicago, IL 60693

243 Elm St
Claremont, NH 03743
Phone (603) 542-7771

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Interoperability endpoints

  • Direct secure messaging: kgonzales600234@direct.dartmouth-hitchcock.org
  • Direct secure messaging: vrhkgonza@yourcarecommunity.org

Organizations & group practices 16

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 16

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1417445206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5146 MILLER WOODS TRL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353746",
            "telephone_number": "347-528-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5146 MILLER WOODS TRL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30035",
            "telephone_number": "347-528-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Old Jefferson Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "30607",
            "country_code": "US",
            "telephone_number": "706-549-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "KAMLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NH",
            "license": "113293-23",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN249592",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN249592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.