GWENDOLYN ABE DE LEON
NPI 1083405773
Registered Nurse - Rehabilitation in La Fayette, GA

Q: What is Gwendolyn De Leon's NPI number?

The NPI number for Gwendolyn De Leon is 1083405773. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Q: What is Gwendolyn De Leon's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Rehabilitation, with taxonomy code 163WR0400X.

Q: When was this NPI record last updated?

The NPPES record for Gwendolyn De Leon was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since May 13, 2025

205 ROADRUNNER BLVD, LA FAYETTE, GA 30728(706) 638-4664 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gwendolyn Abe De Leon NPPES

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

GWENDOLYN ABE DE LEON (NPI 1083405773) is an individual rehabilitation provider in La Fayette, Georgia, licensed in New York (615507) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1083405773

Entity TypeIndividualFemale

Primary Taxonomy163WR0400X

Provider Legal NameGWENDOLYN ABE DE LEON

Location Address205 ROADRUNNER BLVDLa Fayette, GA 30728-2161

Mailing Address7204 Fairbanks RdHixson, TN 37343-2409

Phone(706) 638-4664

Sole ProprietorYes

Enumeration DateMay 13, 2025

NPPES CertifiedMay 13, 2025

✔ NPI 1083405773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · RehabilitationNursing Service Providers

Taxonomy Code163WR0400X

License✔ Licensed in NY · 615507

205 ROADRUNNER BLVD, La Fayette, GA 30728

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Other Providers at the Same Location NPPES 4

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

MRS. TRAMEKA LASHUN HARRIS JONES NURSE PRACTITIONER

Nurse Practitioner (Adult Health)

205 ROADRUNNER BLVD
LA FAYETTE, GA 30728

Walker County (706) 638-4662

SHELLEY ANN SCRUGGS P.T.

Physical Therapist

205 ROADRUNNER BLVD
LA FAYETTE, GA 30728

Walker County (706) 638-8770

UNITED REHAB INC

Clinic/Center (Rehabilitation)

205 ROADRUNNER BLVD
LA FAYETTE, GA 30728

Walker County (706) 638-4662

PRUITTHEALTH - LAFAYETTE, LLC

Skilled Nursing Facility

205 ROADRUNNER BLVD
LA FAYETTE, GA 30728

Walker County (706) 638-4662

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 Gwendolyn De Leon's NPI number?

The NPI number for Gwendolyn De Leon is 1083405773. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Gwendolyn De Leon located?

Gwendolyn De Leon practices at 205 Roadrunner Blvd, La Fayette, GA 30728. The listed phone number is (706) 638-4664.

What is Gwendolyn De Leon's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Rehabilitation, with taxonomy code 163WR0400X.

When was this NPI record last updated?

The NPPES record for Gwendolyn De Leon was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.