Active NPI
Karen Domitila Zavala-Abrego
- Maternal Newborn Registered Nurse
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal Newborn Registered Nurse
- License
- 300402
- Practice address
- 1315 Jesse Jewell Pkwy NE Ste 200
Gainesville, GA 30501-3821 - Phone
- (770) 219-9300
- NPI assigned
- Mar 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Maternal Newborn Registered Nurse | 163WM0102X | 300402 | GA | Primary |
Addresses
Primary practice location
1315 Jesse Jewell Pkwy NE Ste 200
Gainesville, GA 30501-3821
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
1315 Jesse Jewell Pkwy NE Ste 201
Gainesville, GA 30501-3811
Phone (770) 219-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1315 Jesse Jewell Pkwy NE
Suite 110
Gainesville, GA 30501-3822
Phone (770) 219-0023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300402 | GA | MD | Maternal Newborn Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients |
Locations
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
1315 Jesse Jewell Pkwy NE
Ste 200
Gainesville, GA 30501
Phone (770) 219-9300
1315 Jesse Jewell Pkwy NE
Ste 110
Gainesville, GA 30501
Phone (770) 219-0023
1315 Jesse Jewell Pkwy NE
Ste 201
Gainesville, GA 30501
Phone (770) 219-8765
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1669272019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 JESSE JEWELL PKWY NE STE 200",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013821",
"telephone_number": "770-219-9300"
}
],
"practiceLocations": [
{
"address_1": "1315 Jesse Jewell Pkwy NE Ste 201",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013811",
"country_code": "US",
"telephone_number": "770-219-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAVALA-ABREGO",
"first_name": "KAREN",
"middle_name": "DOMITILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-14",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "GA",
"license": "300402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.
- 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.