Elta Lynne Gipson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3871 Stone Lake Dr NW
Kennesaw, GA 30152-6938

Phone

(404) 295-0200

NPI assigned

Sep 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Serving Families, Inc.

  • Behavior Analyst
  • Kennesaw, GA
  • NPI 1962217000
  NPD Authorized official

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1619754215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 STONE LAKE DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526938",
            "telephone_number": "404-295-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 STONE LAKE DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526938",
            "telephone_number": "404-295-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "ELTA",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Ann Gibbons, DC
• Jada Gibson, LAPC
• Asia Gifford, PSY.D.
• Nicole Gilner
• Frank Paul Giovannotto, D.C.
• Heather Lynn Glass, APRN
• Global Care Centers Inc
• Global Empowerment Technololgy Group, LLC
• Carol Madison Glover, M.D.
• Kelly Ray Gober, D.M.D

• Behavior Technician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.