Gwendolyn Flonnery-Roberts, MSN, FNP-C, AAHIVS

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

218975 Issued in GA

Practice address

2211 Bartow St
Brunswick, GA 31520-5604

Phone

(850) 210-2473

NPI assigned

Oct 1, 2014

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

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JAJGDD/Endpoint/JAJGDD

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.

• Build and Restore, LLC

  • Family Nurse Practitioner
  • Brunswick, GA
  • NPI 1225616618

  GA

  Medicare reassignment Authorized official
• 904 Health, Inc

  • Primary Care Clinic/Center
  • Yulee, FL
  • NPI 1699487678
  NPD (past)

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1487057758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 BARTOW ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315205604",
            "telephone_number": "912-209-5444",
            "fax_number": "912-438-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 BARTOW ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315205604",
            "telephone_number": "850-210-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLONNERY-ROBERTS",
        "first_name": "GWENDOLYN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C, AAHIVS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN218975",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "218975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary W Fisler, R.PH.
• Rene Nicole Fisler, AGNP-C
• Kyrisston Shantell Fleming
• Mary Fleming, LPN
• Caroline Dejarnett Flexer, FNP-BC
• Florida Bracing Centers, Inc.
• Henry Warnock Flournoy, M.D.
• Morgan Flournoy
• Jay William Floyd, MD
• Mario Forcina

• All providers in Brunswick, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.