Active NPI
Linda L Gay
- Family Nurse Practitioner
- Kennesaw, GA
National Provider Identifier
1508164468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN071597
- Practice address
- 3805 Cherokee St NW
Kennesaw, GA 30144-2085 - Phone
- (770) 426-5666
- NPI assigned
- Mar 2, 2011
- 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 | RN071597 | GA | Primary |
Addresses
Primary practice location
3805 Cherokee St NW
Kennesaw, GA 30144-2085
Mailing address
8 Cadillac Dr
Suite 250
Brentwood, TN 37027-5087
Phone (615) 425-4287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003110211A | Medicaid | GA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Current | Accepting new patients | |
| David E Kim MD PC | Past | Accepting new patients | |
| The Healthcaring Clinic of Georgia, LLC | Family | Past | Accepting new patients |
| Piedmont Medical Care Corporation | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
2444 Dallas Hwy SW
Marietta, GA 30064
Phone (678) 732-1512
Organizations & group practices 4
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.
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- Nephrology Physician
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- NPI 1104088905
-
- Internal Medicine Physician
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- NPI 1194919381
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
- Family Nurse Practitioner
- Cartersville, GA
- NPI 1669539508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1508164468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CADILLAC DR",
"address_2": "SUITE 250",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275087",
"telephone_number": "615-425-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 CHEROKEE ST NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301442085",
"telephone_number": "770-426-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "LINDA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN071597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003110211A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.