KAMLA GONZALES (NP) – Adult Health Nurse Practitioner, NPI 1417445206

KAMLA GONZALES (NP) is a healthcare provider. based in Decatur, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN249592 (GA). The NPI Number for KAMLA GONZALES (NP) is 1417445206

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KAMLA GONZALES (NP)
NPI
1417445206
Phone
(347) 528-4006
Address
5146 MILLER WOODS TRL
Enumeration Date
26 April 2018
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6035427771
Graduation Year
2017 (9 years ago)
PAC ID
6204169139
Group Practice PAC ID
5799683280
Professional Enrollment ID
I20250219002944
Address ID
NH037434921CL243XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for KAMLA GONZALES (NP)

  • 5146 MILLER WOODS TRL

    DECATUR, GA 300353746

    Phone: (347) 528-4006

    Type: Mailing

  • 3320 Old Jefferson Rd Ste 200

    Athens, GA 30607

    Phone: (706) 549-5560

    Type: Location

  • 1 Medical Center Dr

    Lebanon, NH 037560001

    Phone: (603) 650-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2023-12-07 • Largest payer in this snapshot: ITI, Inc. ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ITI, Inc.$35
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190618000707INurse PractitionerGATBD
I20250219002944INurse PractitionerNHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30035)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799683280View full group profile
NameSpecialtyState
Internal MedicineME
Internal Medicine, Hematology/OncologyNH
-NH
Nurse PractitionerND
Nurse PractitionerNH
General SurgeryCA
-NH
Emergency Medicine, Family PracticeMA
Family PracticeNH
Nurse PractitionerNH

Reviews

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Frequently asked questions

What is the registry number for KAMLA GONZALES (NP)?
The registry entry for KAMLA GONZALES (NP) shows NPI 1417445206.
Is KAMLA GONZALES (NP) currently accepting referrals based on NPI status?
Registry metadata lists KAMLA GONZALES (NP) as active.
What type of care does KAMLA GONZALES (NP) provide?
KAMLA GONZALES (NP)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KAMLA GONZALES (NP)?
KAMLA GONZALES (NP) is associated with Decatur, Georgia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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