Active NPI
Deborah Klaasse Gass, FNP-C
- Family Nurse Practitioner
- Acworth, GA
National Provider Identifier
1912268970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN186817
- Practice address
- 6158 Highway 92
Ste 100
Acworth, GA 30102-2328 - Phone
- (770) 928-8450
- NPI assigned
- Jun 6, 2012
- Last updated
- Aug 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN186817 | GA | Primary |
Addresses
Primary practice location
6158 Highway 92
Ste 100
Acworth, GA 30102-2328
Mailing address
6158 Highway 92
Ste 100
Acworth, GA 30102-2328
Phone (770) 928-8450
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN186817 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC of Georgia LLC | Family | Current | Accepting new patients |
Locations
455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776
3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344643200000",
"number": "1912268970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6158 HIGHWAY 92",
"address_2": "STE 100",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301022328",
"telephone_number": "770-928-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6158 HIGHWAY 92",
"address_2": "STE 100",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301022328",
"telephone_number": "770-928-8450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASS",
"first_name": "DEBORAH",
"middle_name": "KLAASSE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2012-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN186817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.