Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gatewood Clinic and Medspa LLC

Organization Clinical Genetics (M.D.) Physician · NPI 1871398842

Gatewood Clinic and Medspa LLC provides Clinical Genetics (M.D.) Physician services in Stone Mountain, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

715 Village Square Dr
Stone Mountain, GA 30083-3379
Phone: (470) 823-3051
Fax: (678) 615-2314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X

Record details

NPI number1871398842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Pierson — Owner · (770) 685-0718
NPI enumeratedFebruary 14, 2025
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address2989 Wilsone Pl, Stone Mountain, GA 30083-3379