KEREESE S. GAYLE M.D. – NPI #1376805267
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

KEREESE GAYLE is a physician located in ATLANTA, GA. NPPES has assigned the NPI number 1376805267 to KEREESE GAYLE on June 15, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name KEREESE S GAYLE-FARIAS. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Mar 17, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEREESE GAYLE below.

NPI Profile for
KEREESE S. GAYLE

NPI Number
1376805267
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KEREESE S. GAYLE
Former Name: KEREESE S GAYLE-FARIAS
Credentials
M.D.
Primary location
2199 COLLEGE AVE NE
ATLANTA, GA 30317-1334
Phone: (404) 369-1692 Fax:
1 Other location(s):
406 M Northside Drive
Valdosta, GA 31602
Phone: (229) 241-0059
Fax: (229) 241-2088
Mailing address
406 M NORTHSIDE DRIVE
VALDOSTA, GA 31602
Phone: (229) 241-0059 Fax: (229) 241-2088
Sole Proprietor
No
Updated
Certification Date
Jun 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
GA 74177

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.