Organization Active NPI

Gentle Giant Care

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1578136156
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
GENTLE GIANT CARE
Practice address
600 Phipps Blvd NE Apt 1601
Atlanta, GA 30326-3345
Phone
(803) 394-4993
NPI assigned
Jul 21, 2021
Last updated
Jul 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Lequawn M James, NPNPI 1154834406
Title
Owner
Phone
(803) 394-4993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

600 Phipps Blvd NE Apt 1601
Atlanta, GA 30326-3345

Mailing address

600 Phipps Blvd NE Apt 1601
Atlanta, GA 30326-3345
Phone (803) 394-4993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220222000891 GA Part B Supplier - Clinic/Group Practice 3375937121 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

5445 Peachtree Dunwoody Rd
Sandy Springs, GA 30342
Phone (678) 974-7410

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1578136156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PHIPPS BLVD NE APT 1601",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263345",
            "telephone_number": "803-394-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PHIPPS BLVD NE APT 1601",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263345",
            "telephone_number": "803-394-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE GIANT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "LEQUAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-394-4993",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.