Individual provider Active NPI

Adrianne Smiley Gurley

  • Occupational Therapist
  • Stonecrest, GA
National Provider Identifier
1942669205
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT6367 Issued in GA
Practice address
6092 Idlewood Pass
Stonecrest, GA 30038-6269
Phone
(678) 492-6237
NPI assigned
Feb 15, 2016
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT6367 GA Primary

Addresses

Primary practice location

6092 Idlewood Pass
Stonecrest, GA 30038-6269

Mailing address

1299 Battlecreek Rd Ste 210
Jonesboro, GA 30236-7981
Phone (678) 492-6237

Other practice location 1

901 Riggins Rd Apt 621
Tallahassee, FL 32308-2203
Phone (678) 492-6237

Other practice location 2

4434 Gearhart Rd Apt 2901
Tallahassee, FL 32303
Phone (678) 492-6237

Other practice location 3

4434 Gearhart Rd Apt 2901
Tallahassee, FL 32303
Phone (678) 492-6237

Other identifiers 3

IdentifierTypeStateIssuer
022345600MedicaidFL
OT006367OtherGAGEORGIA STATE LICENSE
OT18152OtherFLFLORIDA STATE LICENSE

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

LicenseStateTypeSpecialty
OT6367GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingdom Therapy Services LLC Past Accepting new patients

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": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1942669205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 BATTLECREEK RD STE 210",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302367981",
            "telephone_number": "678-492-6237",
            "fax_number": "850-999-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6092 IDLEWOOD PASS",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300386269",
            "telephone_number": "678-492-6237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Riggins Rd Apt 621",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323082203",
            "country_code": "US",
            "telephone_number": "678-492-6237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4434 Gearhart Rd Apt 2901",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "32303",
            "country_code": "US",
            "telephone_number": "678-492-6237",
            "fax_number": "850-999-7114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4434 Gearhart Rd Apt 2901",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "32303",
            "country_code": "US",
            "telephone_number": "678-492-6237",
            "fax_number": "850-999-7114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "ADRIANNE",
        "middle_name": "SMILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT6367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022345600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LICENSE",
            "identifier": "OT006367",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "OT18152",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stonecrest, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.