Individual provider Active NPI

Andrew Lee Gonzales, FNP-C

  • Nurse Practitioner
  • Athens, GA
National Provider Identifier
1477221455
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP185283 Issued in GA
Practice address
1230 Baxter St
Athens, GA 30606-3791
Phone
(706) 389-3993
NPI assigned
Sep 2, 2021
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP185283 GA Primary

Addresses

Primary practice location

1230 Baxter St
Athens, GA 30606-3791

Mailing address

120 Greenbrier PL
Athens, GA 30605-4023
Phone (706) 206-7840

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
I20211101002501 GA Practitioner - Nurse Practitioner 9537557111 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

485 Hwy 29 N
Athens, GA 30601-5583
Phone (706) 438-4080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP185283GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Digestive Healthcare Associates CurrentSince Oct 17, 2023 Accepting new patients
Wellstreet of Georgia PC CurrentSince Apr 23, 2025 Accepting new patients
Athens Clarke Medical Enterprises LLC Current Accepting new patients
Athens Clarke Medical Enterprises LLC CurrentSince Sep 22, 2021 Accepting new patients
Greater Athens Physicians, Inc CurrentSince Jul 15, 2024 Accepting new patients
Athens Family Medicine Past Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

485 Highway 29 N
Athens, GA 30601
Phone (706) 353-6000

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

5401 Lake Oconee Pkwy
Greensboro, GA 30642
Phone (706) 453-7331

1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985

1550 Mars Hill Rd
Watkinsville, GA 30677
Phone (706) 769-4852

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEEBBD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1477221455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GREENBRIER PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306054023",
            "telephone_number": "706-206-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063791",
            "telephone_number": "706-389-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP185283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.