Active NPI
Gabrielle Valliere-White, FNP-C
- Family Nurse Practitioner
- Fayetteville, GA
National Provider Identifier
1720769813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN241046
- Practice address
- 1233 Sr-54 W
Suite 120
Fayetteville, GA 30214 - Phone
- (678) 272-1717
- NPI assigned
- Jul 31, 2023
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | RN241046 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN241046 | GA | Primary |
Addresses
Primary practice location
1233 Sr-54 W
Suite 120
Fayetteville, GA 30214
Mailing address
215 Somerset CT
McDonough, GA 30253-4015
Other practice location 1
1325 Rock Quarry Rd Ste 200
Stockbridge, GA 30281-5033
Phone (770) 389-0734
Other names 1
- Gabrielle Valliere
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN241046 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle'S Landing Longevity Center | Internal Medicine | Current | Accepting new patients |
| Columbus Ambulatory Healthcare Services, Inc. | Past | Accepting new patients |
Locations
1325 Rock Quarry Rd
Ste 200
Stockbridge, GA 30281
Phone (770) 389-0734
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
- Stockbridge, GA
- NPI 1134524788
-
- Orthopaedic Surgery Physician
- Columbus, GA
- NPI 1750349635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1720769813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SOMERSET CT",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302534015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 SR-54 W",
"address_2": "SUITE 120",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "30214",
"telephone_number": "678-272-1717"
}
],
"practiceLocations": [
{
"address_1": "1325 Rock Quarry Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302815033",
"country_code": "US",
"telephone_number": "770-389-0734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALLIERE-WHITE",
"first_name": "GABRIELLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2025-02-07",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "RN241046",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN241046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIELLE",
"last_name": "VALLIERE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.