Active NPI
Erica Michelle Gentile, APRN
- Family Nurse Practitioner
- Alpharetta, GA
National Provider Identifier
1417457102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NCO-000001
- Practice address
- 9925 Haynes Bridge Rd
Alpharetta, GA 30022-8532 - Phone
- (770) 777-7495
- NPI assigned
- Feb 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NCO-000001 | GA | Primary |
Addresses
Primary practice location
9925 Haynes Bridge Rd
Alpharetta, GA 30022-8532
Mailing address
235 Red Hawk TRL
Alpharetta, GA 30022-6683
Phone (770) 359-9137
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NCO-000001 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1417457102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 RED HAWK TRL",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300226683",
"telephone_number": "770-359-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9925 HAYNES BRIDGE RD",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300228532",
"telephone_number": "770-777-7495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "ERICA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "NCO-000001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.