Larrice Tela Gorley

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN222604 Issued in GA

Practice address

1401 Peachtree St NE Ste 105
Atlanta, GA 30309-3023

Phone

(470) 749-3520

NPI assigned

Feb 23, 2018

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clear Point Therapeutic Services LLCGroup PAC ID 0345628889, 2 clinicians

The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.larricegorley@124220.advancedmd-direct.com

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.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956
  Medicare reassignment Care Compare group NPD
• Clear Point Therapeutic Services LLC

  • Clinical Social Worker
  • Valdosta, GA
  • NPI 1912645961
  Medicare reassignment Care Compare group
• Joiner and Lane Psychiatry and Counseling, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, GA
  • NPI 1659195022
  Medicare reassignment NPD
• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Joiner and Lane Migraine Aesthetic Wellness Spa LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Valdosta, GA
  • NPI 1205716529
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1417458498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 EMERALD POINTE DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301169409",
            "telephone_number": "470-670-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PEACHTREE ST NE STE 105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093023",
            "telephone_number": "470-749-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLEY",
        "first_name": "LARRICE",
        "middle_name": "TELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN222604",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN222604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LP0808X",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.mygbhp.com/location/midtown-atlanta-coming-soon/?utm_source=gmb&utm_medium=organic",
            "affiliation": "N",
            "address_1": "1401 Peachtree St NE Ste 105",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303093023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Gore-Griffin, PHYSICIAN ASSISTANT
• Ashley Rae Gore, NP-C
• David Karol Gore, PHD, PC
• Russell Gore, M.D.
• Ulrike Gorgens
• Conrad J Gorman, PA-C
• Jill Gorman, AA
• Patrick Terrence Gorman
• Jan Marie Gorniak, DO
• Mikhail Gorokhov, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.