IndividualActive
Gary Koller
NPI 1205258431 · Family Health Clinical Nurse Specialist · Lumpkin, GA
Provider details
- NPI number
- 1205258431
- Entity type
- Individual
- Primary specialty
- Family Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN218792 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
76 Holder Road
Lumpkin, GA 31815
Phone: (229) 838-1241
Fax: (229) 838-1242
Approximate (ZIP-level) locationGet directions
Mailing address
79 Holder Road
Lumpkin, GA 31815
Registry dates
- Enumerated
- 2014-01-07
- Last updated
- 2015-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.