Provider Demographics
NPI:1457866261
Name:GILCHRIST, EMILY (AGACNP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:GILCHRIST
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHSIDE HOSPITAL- MANAGED CARE DEPT
Mailing Address - Street 2:1000 JOHNSON FERRY RD
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1606
Mailing Address - Country:US
Mailing Address - Phone:770-292-3490
Mailing Address - Fax:770-851-6283
Practice Address - Street 1:1505 NORTHSIDE BLVD STE 2400
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7662
Practice Address - Country:US
Practice Address - Phone:770-292-3490
Practice Address - Fax:770-851-6283
Is Sole Proprietor?:No
Enumeration Date:2017-12-04
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP0180272086S0102X, 363LA2100X
GARN281754363LA2100X
UT13329804-4405363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA