LARRICE TELA GORLEY NPI 1417458498

NPI Information

  • NPI: 1417458498
  • Provider Name: LARRICE TELA GORLEY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1401 PEACHTREE ST NE STE 105
    ATLANTA, GA
    ZIP 30309
  • Phone: (470) 749-3520

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NPI Details

Larrice Tela Gorley is a psychiatric/mental health nurse practitioner in Atlanta, GA. Larrice Tela Gorley NPI is 1417458498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1401 PEACHTREE ST NE STE 105
ATLANTA, GA
ZIP 30309-023
Phone: (470) 749-3520

The NPI 1417458498 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy for crisis, first hour (HCPCS:90839)

The enumeration date for this NPI number is 2/23/2018 and was last updated on 2/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthRN222604GEORGIAYes
2363LA2100XNurse PractitionerAcute CareRN222604GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1363LP0808XMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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