Active NPI
Jeanette Gaston, NP
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1518904804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0639601
- Practice address
- 1968 Peachtree Rd NW
Atlanta, GA 30309-1281 - Phone
- (404) 605-2800
- Fax
- (404) 351-5983
- NPI assigned
- Jun 2, 2006
- Last updated
- Sep 21, 2010
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0639601 | GA | Primary |
Addresses
Primary practice location
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Mailing address
95 Collier Rd NW
Ste 2035
Atlanta, GA 30309-1796
Phone (404) 605-2800
Other names 1
- Jeanette Wimbush
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0639601 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiac Disease Specialists, LLC | Past | Accepting new patients | |
| David E Kim MD PC | Past | Accepting new patients | |
| The Healthcaring Clinic of Georgia, LLC | Past | Accepting new patients | |
| Piedmont Cardiology of Georgia LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Cartersville, GA
- NPI 1194919381
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1124294640
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1831376292
-
- 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": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1518904804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 COLLIER RD NW",
"address_2": "STE 2035",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091796",
"telephone_number": "404-605-2800",
"fax_number": "404-351-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 PEACHTREE RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091281",
"telephone_number": "404-605-2800",
"fax_number": "404-351-5983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTON",
"first_name": "JEANETTE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "0639601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANETTE",
"last_name": "WIMBUSH",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
- Catherine M Gaskill, NP
- Debra Danielle Gaskin, PT, DPT
- Patrice T Gaspard, MD
- Alexandra Paula Gastesi, DO
- Elizabeth Leigh Gaston, APRN
- Lindsey Michelle Gaston, DO
- Gastro Consultants of Atlanta PC
- Gastroenterology Endoscopy Center
- Gastroenterology Medicine & Nutrition Clinic, PC
- Gates Rapid Diagnostic Laboratory of Atlanta
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.