Active NPI
Adrianne Smiley Gurley
- Occupational Therapist
- Stonecrest, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT6367
- Practice address
- 6092 Idlewood Pass
Stonecrest, GA 30038-6269 - Phone
- (678) 492-6237
- NPI assigned
- Feb 15, 2016
- Last updated
- Oct 4, 2021
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022345600 | Medicaid | FL | |
| OT006367 | Other | GA | GEORGIA STATE LICENSE |
| OT18152 | Other | FL | FLORIDA 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT6367 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Rehabilitation Clinic/Center
- Tallahassee, FL
- NPI 1801311345
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.