Individual provider Active NPI

Nicole Walker Geringer, MS OTR/L

  • Occupational Therapist
  • Gainesville, GA
National Provider Identifier
1922059690
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3472 Issued in GA
Practice address
7985 Knight Rd
Gainesville, GA 30506-6427
Phone
(770) 781-4899
Fax
(770) 781-4094
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

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.

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
Master of Science

State licenses

LicenseStateTypeSpecialty
3472GAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Therapy Services Occupational Therapist PastSince Feb 11, 2008 Accepting new patients
Finding Faith Inc Occupational Therapist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3472 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

7985 Knight Rd
Gainesville, GA 30506-6427

Mailing address

78 Dawson Village Way N Ste 140-53
Dawsonville, GA 30534-7168
Phone (770) 781-4899

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00933787DMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2020.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1922059690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 DAWSON VILLAGE WAY N STE 140-53",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347168",
            "telephone_number": "770-781-4899",
            "fax_number": "770-781-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7985 KNIGHT RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066427",
            "telephone_number": "770-781-4899",
            "fax_number": "770-781-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERINGER",
        "first_name": "NICOLE",
        "middle_name": "WALKER",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "3472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00933787D",
            "state": "GA"
        }
    ],
    "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 28, 2020; 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.