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NPI · 1871398842 · NPPES-sourced

Gatewood Clinic And Medspa LLC

ActiveClinical Genetics (M.D.) Physician
NPI Number
1871398842
Type 2 · Organisation
Taxonomy Code
207SG0201X
Contact
(470) 823-3051
Primary practice line
Last Updated
Enumerated
Primary practice addressGA · 30083-3379
715 Village Square DrStone Mountain, GA 30083-3379
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About this NPIWhat this record shows.

NPI 1871398842 is registered to Gatewood Clinic And Medspa LLC, a healthcare organisation classified as "Clinical Genetics (M.D.) Physician" and located at 715 Village Square Dr in Stone Mountain, Georgia. The organisation's authorised official is Kimberly Pierson. The organisation has been enumerated in the NPI registry since 2025.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Gatewood Clinic And Medspa LLC accepts. To confirm in-network status with your specific health plan, contact Gatewood Clinic And Medspa LLC directly at (470) 823-3051.

Frequently asked

Yes. NPI 1871398842 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Genetics (M.D.) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (470) 823-3051.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Gatewood Clinic And Medspa LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207SG0201X
Last updated
Enumerated
StatusActive
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Same specialtyOther Clinical Genetics (M.D.) Physician providers in Georgia.

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