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CHRISYANA GEDMYR MEDCARE LLC
NPI 1619478013
Nurse Practitioner - Family in Villa Rica, GA

Active since February 22, 2018CLIA 11D2148498 · Waiver
403 PERMIAN WAY STE A, VILLA RICA, GA 30180(770) 771-5235 Get Directions Write a Review

NPPES record last updated: December 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2025, Feb 22, 2018 (2 updates tracked since 2018).

About Chrisyana Gedmyr Medcare Llc NPPES

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

CHRISYANA GEDMYR MEDCARE LLC (NPI 1619478013) is a healthcare organization registered as a family in Villa Rica, Georgia and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Josette Etienne, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1619478013
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHRISYANA GEDMYR MEDCARE LLC
Location Address403 PERMIAN WAY STE AVilla Rica, GA 30180-3226
Mailing Address403 Permian Way Ste AVilla Rica, GA 30180-3226
Phone(770) 771-5235
Organization SubpartNo
Authorized OfficialJosette EtienneFnp-c · (770) 771-5235
Enumeration DateFebruary 22, 2018
Last NPPES UpdateDecember 28, 20252 updates tracked since enumeration
NPPES CertifiedDecember 28, 2025
✔ NPI 1619478013 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
403 PERMIAN WAY STE A, Villa Rica, GA 30180
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2148498

Chrisyana Gedmyr Medcare · Villa Rica, GA
Active · expires May 13, 2028
CLIA Number11D2148498
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorJosette Etinne
Laboratory Phone(770) 771-5235
Laboratory LocationChrisyana Gedmyr Medcare403 Permian Way, Suite A, Villa Rica, GA 30180
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Chrisyana Gedmyr Medcare LLC's NPI number?

The NPI number for Chrisyana Gedmyr Medcare LLC is 1619478013. It was assigned to this organization in the NPPES registry on February 22, 2018.

Where is Chrisyana Gedmyr Medcare LLC located?

Chrisyana Gedmyr Medcare LLC is located at 403 Permian Way Ste A, Villa Rica, GA 30180. The listed phone number is (770) 771-5235.

What is Chrisyana Gedmyr Medcare LLC's specialty?

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

Does Chrisyana Gedmyr Medcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2148498) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chrisyana Gedmyr Medcare LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Chrisyana Gedmyr Medcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chrisyana Gedmyr Medcare LLC was last updated on December 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.