Chrisyana Gedmyr Medcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CHRISYANA GEDMYR MEDCARE LLC

Practice address

403 Permian Way Ste a
Villa Rica, GA 30180-3226

Phone

(770) 771-5235

NPI assigned

Feb 22, 2018

Last updated

Dec 28, 2025By 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

Josette Etienne, FNP-CNPI 1396138368

Title

FNP-C

Phone

(770) 771-5235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Josette Etienne, FNP-C

  • Family Nurse Practitioner
  • Villa Rica, GA
  • NPI 1396138368

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766880000000",
    "number": "1619478013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PERMIAN WAY STE A",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PERMIAN WAY STE A",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803226",
            "telephone_number": "770-771-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISYANA GEDMYR MEDCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "JOSETTE",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "770-771-5235",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chattahoochee Healthcare LLC (Villa Rica Ear Nose & Throat)
• Muhammad Hasan Chauhan, DMD
• Robin Renee Childress-Rodriguez, NP
• Anson Chin
• Stefanie Christopher, APRN, NP-C, FNP-BC
• Clarity Counseling of West Georgia
• Candie Clark
• Bre'Yana Claxton
• Timia Armani Coles
• Comfort Enterprises, Inc

• Family Nurse Practitioner in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.