Active NPI
Kara Gaskin, N.P.
- Nurse Practitioner
- Austell, GA
National Provider Identifier
1619257672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN138448NP
- Practice address
- 1810 Mulkey Rd Ste 200
Austell, GA 30106-1150 - Phone
- (404) 414-4518
- Fax
- (770) 944-0829
- NPI assigned
- Aug 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | RN138448NP | GA | Primary |
Addresses
Primary practice location
1810 Mulkey Rd Ste 200
Austell, GA 30106-1150
Mailing address
1810 Mulkey Rd Ste 200
Austell, GA 30106-1150
Phone (404) 414-4518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN138448 | Other | GA | RN LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260227004093 | WA | Order and Referring Only - Nurse Practitioner | 4587813829 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN138448NP | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James a. Sexson, M.D. LLC | Past | Accepting new patients | |
| Ravens Nest Foundation Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Austell, GA
- NPI 1225169071
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Austell, GA
- NPI 1578867982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1619257672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 MULKEY RD STE 200",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061150",
"telephone_number": "404-414-4518",
"fax_number": "770-944-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 MULKEY RD STE 200",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061150",
"telephone_number": "404-414-4518",
"fax_number": "770-944-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASKIN",
"first_name": "KARA",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN138448NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE NUMBER",
"identifier": "RN138448",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.