KAELIN JENYSE GATEWOOD (NPI# 1598390296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598390296 |
| Entity Type | Individual |
| Full Name | KAELIN JENYSE GATEWOOD |
| Credential | NP |
| Practice Address |
3001 S Cobb Dr Se Smyrna GA 30080-7874 |
| Mailing Address |
525 Herman Ave Bowling Green KY 42104-8577 |
| Practice Telephone | 4042967133 |
| Practice Fax Number | 7704329139 |
| Mailing Telephone | 7705275487 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN233748 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3001 S COBB DR SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-7874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020639 | Martin I Goldstein | Specialist | 3001 S Cobb Dr Se, Suite 203, Smyrna, GA 30080-7809 | 2005-08-22 |
| 1356766281 | Udeme Efik | Nurse Practitioner | 3001 S Cobb Dr Se, Smyrna, GA 30080-7874 | 2014-03-01 |
| 1003150525 | St Paul Medical Inc | Family Medicine | 3001 S Cobb Dr Se, Suite 205, Smyrna, GA 30080-7874 | 2012-11-21 |
| 1215280177 | Peach State Pediatrics | Pediatrics | 3001 S Cobb Dr Se, Suite 107, Smyrna, GA 30080-7874 | 2012-10-16 |
| 1235309568 | Miguel E. Stubbs, M.d.p.c. | Skilled Nursing Facility | 3001 S Cobb Dr Se, Suite 103, Smyrna, GA 30080-7809 | 2008-03-03 |
| 1821288754 | Eagles Landing Primary Care Specialists PC | Internal Medicine | 3001 S Cobb Dr Se, Suite 103, Smyrna, GA 30080-7809 | 2007-07-26 |
| 1841359072 | Cecilia A Nwogu | Nurse Practitioner | 3001 S Cobb Dr Se, Suite 103, Smyrna, GA 30080-7809 | 2006-12-06 |
| 1922119569 | Musicks Prescription Center | Pharmacist | 3001 S Cobb Dr Se, Smyrna, GA 30080-7809 | 2006-08-31 |
| 1174533921 | J & S Healthcare Associates, P.C. | Internal Medicine | 3001 S Cobb Dr Se, Suite 103, Smyrna, GA 30080-7809 | 2006-08-08 |
| 1477591675 | Miguel E Stubbs | Internal Medicine | 3001 S Cobb Dr Se, Suite 103, Smyrna, GA 30080-7809 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346495827 | Cindy A Lebiecki | Nurse Practitioner | 3065 South Cobb Drive, Smyrna, GA 30080 | 2008-11-25 |
| 1568566594 | Barbara Kay Koval | Nurse Practitioner | 1616 Spring St Se, Smyrna, GA 30080-3664 | 2006-09-11 |
| 1952921801 | Mariah Forbes Daly | Nurse Practitioner | 739 President Pl Ste 110, Smyrna, TN 37167-6845 | 2020-04-21 |
| 1407311392 | Julia Alexandra Byrd | Nurse Practitioner | 739 President Pl Ste 110, Smyrna, TN 37167-6845 | 2019-02-05 |
| 1043734452 | Erin Ferguson | Nurse Practitioner | 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080-6906 | 2017-07-27 |
| 1477892131 | Christina Marie Hartley | Nurse Practitioner | 4581 S Cobb Dr Se, Suite 100, Smyrna, GA 30080-6903 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.