Gateway Medspa LLC Dba Dana

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GATEWAY MEDSPA LLC DBA DANA

Doing business as

Dana Inc.

Practice address

165 Cedric St
Leesburg, GA 31763-5027

Phone

(229) 405-1900

Fax

(229) 304-4486

NPI assigned

Jun 25, 2020

Last updated

Dec 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tokela S Huston

Title

Owner

Phone

(229) 854-0146

Specialties & licenses 6

Addresses

Other names 1

• DANA INC. Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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.

• Tabitha Smith, MSW

  • Clinical Social Worker
  • Leesburg, GA
  • NPI 1770318107
  NPD
• Martine Flake, BCABA

  • Assistant Behavior Analyst
  • Gulf Breeze, FL
  • NPI 1588024590
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1609492693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CEDRIC ST",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635027",
            "telephone_number": "229-405-1900",
            "fax_number": "229-304-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CEDRIC ST",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635027",
            "telephone_number": "229-405-1900",
            "fax_number": "229-304-4486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Hammond Dr",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285032",
            "country_code": "US",
            "telephone_number": "229-854-0146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "524 S Houston Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310889027",
            "country_code": "US",
            "telephone_number": "478-236-2060",
            "fax_number": "229-304-4486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GATEWAY MEDSPA LLC DBA DANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2022-12-14",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "HUSTON",
        "authorized_official_first_name": "TOKELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-854-0146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "buildingbrighterfutures229@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "165 Cedric St",
            "city": "Leesburg",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317635027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DANA INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aniah Fillmore
• Mariah Renee Flowers
• Kemberley La'Toya Floyd, PHARM.D.
• Jamie Perrella Flynn-Pressley, LPC
• John S Gadalla, DMD
• Georgia CVS Pharmacy, LLC (CVS Pharmacy #02593)
• Nayonda Teemer Gibson, ATC, LAT
• Amy Elaine Giles, CCC-SLP
• Hannah Elizabeth Gilmore, PHARM.D.
• Samrajya L.K. Gogineni, M.D.

• Behavior Analyst in Leesburg, GA
• Providers in Leesburg, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.