P Praxis·MD
● Active Type 1 · Individual

DR. Michael John Gambello, MD, PHD

Medical Genetics·Decatur, GA· NPI 1386671394 · Enumerated 2006 · 19 years on NPI
Gambello is 1 of 4 medical genetics providers in Decatur and 1 of 17 in Georgia.
NPI age
19 years
Enumerated 2006-06-26
Primary specialty
Medical Genetics
Plus 1 subspecialty
Licensed in
GA, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-04-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 17 active medical genetics providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
52% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
2165 N Decatur Rd
Decatur, GA 300335307
📞 4047788570fax 4047788562
Mailing address
2165 N Decatur Rd, Emory Clinic Department Of Human Genetics
Decatur, GA 300335307
📞 4047788570fax 4047788562

Specialties

  • Medical Genetics Primary
    A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
    GA license #67568TX license #L3304 taxonomy 207SG0201X

Identifiers

TypeValueNotes
05 (GA) 003122764A
01 (TN) 147519602 CSHCN
05 (TX) 147519602
01 (TX) 8135N6 BCBS
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 39 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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