MR. GARY STEVEN KOLLER
NPI 1205258431
Clinical Nurse Specialist - Family Health in Lumpkin, GA

Q: What is Gary Koller's NPI number?

The NPI number for Gary Koller is 1205258431. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Q: What is Gary Koller's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Q: When was this NPI record last updated?

The NPPES record for Gary Koller was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 07, 2014

76 HOLDER ROAD, LUMPKIN, GA 31815(229) 838-1241(229) 838-1242 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Mr. Gary Steven Koller NPPES

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

MR. GARY STEVEN KOLLER (NPI 1205258431) is an individual family health provider in Lumpkin, Georgia, licensed in Georgia (RN218792) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1205258431

Entity TypeIndividualMale

Primary Taxonomy364SF0001X

Provider Legal NameMR. GARY STEVEN KOLLER

Location Address76 HOLDER ROADLumpkin, GA 31815

Mailing Address79 Holder RoadLumpkin, GA 31815 · (229) 838-1241

Phone(229) 838-1241

Fax(229) 838-1242

Sole ProprietorYes

Enumeration DateJanuary 7, 2014

Last NPPES UpdateJune 30, 2015

✔ NPI 1205258431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SF0001X

License✔ Licensed in GA · RN218792

76 HOLDER ROAD, Lumpkin, GA 31815

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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 Gary Koller's NPI number?

The NPI number for Gary Koller is 1205258431. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Where is Gary Koller located?

Gary Koller practices at 76 Holder Road, Lumpkin, GA 31815. The listed phone number is (229) 838-1241.

What is Gary Koller's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

When was this NPI record last updated?

The NPPES record for Gary Koller was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.