MRS. GRACELYN AMBRISTER DENEUS FNP
NPI 1013407139
Nurse Practitioner - Family in Canton, GA

Active since May 14, 2018
3755 SIXES RD, CANTON, GA 30114(404) 395-0890(470) 299-9936 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2021, May 14, 2018 (2 updates tracked since 2018).

About Mrs. Gracelyn Ambrister Deneus Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GRACELYN AMBRISTER DENEUS FNP (NPI 1013407139) is an individual family provider in Canton, Georgia, licensed in Georgia (RN128736) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1013407139
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GRACELYN AMBRISTER DENEUSCredential: FNP
Location Address3755 SIXES RDCanton, GA 30114-7842
Mailing Address5009 Tiwanaku Dr SwAtlanta, GA 30331-7999 · (404) 349-0844
Fax(470) 299-9936
Sole ProprietorNo
Enumeration DateMay 14, 2018
Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2021
NPI 1013407139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN128736
3755 SIXES RD, Canton, GA 30114

Other Identifiers 1

Other049164407GA · Drivers License

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Dentist (General Practice)
3755 SIXES RD, STE 100
CANTON, GA 30114
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Nurse Practitioner (Family)
3755 SIXES RD
CANTON, GA 30114
Nurse Practitioner (Pediatrics)
3755 SIXES RD
CANTON, GA 30114
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gracelyn Deneus's NPI number?

The NPI number for Gracelyn Deneus is 1013407139. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Gracelyn Deneus located?

Gracelyn Deneus practices at 3755 Sixes Rd, Canton, GA 30114. The listed phone number is (404) 395-0890.

What is Gracelyn Deneus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Gracelyn Deneus was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.