Individual provider Active NPI

Gowri Nagarajan Gokul, PA-C

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1538490362
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61608822 Issued in WA
Practice address
80 Jesse Hill Jr Drive
Atlanta, GA 30004-4462
Phone
(202) 716-9474
NPI assigned
Jan 19, 2010
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 340612 LA
Physician Assistant 363A00000X 013678 NY
Physician Assistant 363A00000X C0004151 MD
Physician Assistant 363A00000X 6749 GA
Physician Assistant 363A00000X 0010-14234 NC
Physician Assistant 363A00000X 8567-23 WI
Medical Physician Assistant 363AM0700X PA61608822 WA Primary
Surgical Physician Assistant 363AS0400X PA030656 DC

Addresses

Primary practice location

80 Jesse Hill Jr Drive
Atlanta, GA 30004-4462

Mailing address

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (202) 716-9474

Other practice location 1

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9437

Other practice location 2

15790 Paul Vega Dr
Hammond, LA 70403-1434
Phone (985) 345-2700

Other practice location 3

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

Other practice location 4

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-1000

Other names 1

  • Gowri Nagarajan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, LA, NY, WA, MO, WI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20140319000730 GA Practitioner - Physician Assistant 9931385747 Reassigns benefits to 3 organizations
I20240909004665 LA Practitioner - Physician Assistant 9931385747 Reassigns benefits to 1 organization
I20250512002113 NY Practitioner - Physician Assistant 9931385747 Reassigns benefits to 1 organization
I20250602000595 WA Practitioner - Physician Assistant 9931385747 Reassigns benefits to 1 organization
I20250623003327 MO Practitioner - Physician Assistant 9931385747 Reassigns benefits to 1 organization
I20260226000355 WI Practitioner - Physician Assistant 9931385747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Wyoming CountyGroup PAC ID 9335118967, 40 clinicians
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912

400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-2233

408 N Main St
Warsaw, NY 14569-1015
Phone (585) 969-5335

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013678NYMDPhysical Therapy Assistant
C0004151MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Regional Health Services CurrentSince Apr 17, 2025 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jan 1, 2014 Accepting new patients
Wyoming County CurrentSince Mar 1, 2025 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jan 1, 2014 Accepting new patients
Multicare Health System CurrentSince Apr 28, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 15, 2024 Accepting new patients
Wyoming County CurrentSince Mar 1, 2025 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Feb 16, 2026 Accepting new patients
Multicare Health System CurrentSince Apr 28, 2025 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 1, 2018 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 15, 2024 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Feb 16, 2026 Accepting new patients
Wyoming County Current Accepting new patients
SSM Regional Health Services CurrentSince Apr 17, 2025 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jul 31, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

7655 Solutions Ctr
Chicago, IL 60677

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1538490362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "202-716-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "300044462",
            "telephone_number": "202-716-9474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-9437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15790 Paul Vega Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031434",
            "country_code": "US",
            "telephone_number": "985-345-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467694",
            "country_code": "US",
            "telephone_number": "678-312-1000",
            "fax_number": "678-312-3282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054234",
            "country_code": "US",
            "telephone_number": "253-403-1000",
            "fax_number": "253-403-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOKUL",
        "first_name": "GOWRI",
        "middle_name": "NAGARAJAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "340612",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013678",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004151",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6749",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14234",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8567-23",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61608822",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "DC",
            "license": "PA030656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GOWRI",
            "last_name": "NAGARAJAN",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.