NPIMap

Organization Active NPI

Gathering Precious Stones, LLC

  • Health Maintenance Organization
  • McDonough, GA
National Provider Identifier
1811264088
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
GATHERING PRECIOUS STONES, LLC
Practice address
817 Pavilion CT
McDonough, GA 30253-6666
Phone
(404) 913-9114
Fax
(404) 923-9933
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Ms. Michele Denise Green, LPCNPI 1235429093
Title
Ceo/Owner
Phone
(404) 913-9114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X
Health Maintenance Organization 302R00000X Primary
Preferred Provider Organization 305R00000X
Point of Service 305S00000X

Addresses

Primary practice location

817 Pavilion CT
McDonough, GA 30253-6666

Mailing address

817 Pavilion CT
McDonough, GA 30253-6666
Phone (404) 913-9114

Other identifiers 1

IdentifierTypeStateIssuer
003149794AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1718 Peachtree St NW
Ste 481
Atlanta, GA 30309
Phone (404) 317-2283

817 Pavilion Ct
McDonough, GA 30253
Phone (404) 913-9114

903 Pavilion Ct
Ste D
McDonough, GA 30253
Phone (404) 913-9114

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1811264088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 PAVILION CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536666",
            "telephone_number": "404-913-9114",
            "fax_number": "404-813-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PAVILION CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536666",
            "telephone_number": "404-913-9114",
            "fax_number": "404-923-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATHERING PRECIOUS STONES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "404-913-9114",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003149794A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.