Individual provider Active NPI

Gabrielle Gardner Norris, FNP-C

  • Family Nurse Practitioner
  • Thomasville, GA
National Provider Identifier
1619529344
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN296275 Issued in GA
Practice address
454 Smith Ave
Thomasville, GA 31792-5535
Phone
(229) 227-5510
Fax
(229) 227-5527
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344668-01 NY
Family Nurse Practitioner 363LF0000X RN296275 GA Primary

Addresses

Primary practice location

454 Smith Ave
Thomasville, GA 31792-5535

Mailing address

454 Smith Ave
Thomasville, GA 31792-5535
Phone (229) 227-5510

Other identifiers 1

IdentifierTypeStateIssuer
RN296275OtherGAGA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210409001193 FL Practitioner - Nurse Practitioner 2264761923 Reassigns benefits to 1 organization
I20220502000238 GA Practitioner - Nurse Practitioner 2264761923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN296275GAMDFamily Nurse Practitioner
F344668-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Medical Center, Inc CurrentSince Nov 25, 2020 Accepting new patients
Primary Care of Southwest Georgia, Inc. CurrentSince Feb 7, 2022 Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince Feb 7, 2022 Accepting new patients
Neighborhood Medical Center, Inc CurrentSince Nov 25, 2020 Accepting new patients
Primary Care of Southwest Georgia, Inc. Family Past Accepting new patients

Locations

438 W Brevard St
Tallahassee, FL 32301
Phone (850) 224-2469

872 Orange Ave W
Tallahassee, FL 32310
Phone (850) 300-7262

360 College St
Blakely, GA 39823
Phone (229) 723-2660

454 Smith Ave
Thomasville, GA 31792
Phone (229) 227-5510

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15524/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1619529344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925535",
            "telephone_number": "229-227-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925535",
            "telephone_number": "229-227-5510",
            "fax_number": "229-227-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "GABRIELLE",
        "middle_name": "GARDNER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344668-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN296275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "RN296275",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.