Jessica Gaynor

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006599 Issued in GA

Practice address

195 14TH St NE Unit 708
Atlanta, GA 30309-2673

Phone

(615) 478-6260

NPI assigned

Dec 17, 2017

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1513468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730695545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 14TH ST NE UNIT 708",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092673",
            "telephone_number": "615-478-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 14TH ST NE UNIT 708",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092673",
            "telephone_number": "615-478-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Glenwood Ave SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303161949",
            "country_code": "US",
            "telephone_number": "404-622-5471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYNOR",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kereese S Gayle, M.D.
• Shermaine Gayle
• Taylor Morris Gayle, PT
• Marilyn S Gaylor, D.D.S.
• Cassondra Mae Gayman, BCBA
• Monica Nicole Gaynor
• Dolapo Justinah Gbadehan, NP
• Julliette Finda Gbanga
• Olumide Gbolahan, MBBS
• GBR Psych Associates LLC

• Occupational Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.