Healthcare Provider Details

I. General information

NPI: 1740190461
Provider Name (Legal Business Name): GABRIELLE KATHRYN ELVE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 CAREYGATE NW
ATLANTA GA
30305-2821
US

IV. Provider business mailing address

2841 CAREYGATE NW
ATLANTA GA
30305-2821
US

V. Phone/Fax

Practice location:
  • Phone: 404-906-1774
  • Fax:
Mailing address:
  • Phone: 404-906-1774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: