Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gathline Etienne, MD

Individual provider Neurology Physician · NPI 1366602005

Gathline Etienne, MD is a Neurology in Roswell, Georgia. Qualified in 2008, 18 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Georgia and Illinois.

Years since qualifying
18
Licensed in
FL, GA, IL
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 Hospital Blvd Ste 440
Roswell, GA 30076-4919
Phone: (770) 663-4649
Fax: (770) 663-3930
Show map & directions

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

Additional practice locations (2)

  • 1741 Newnan Crossing Blvd E Ste G, Newnan, GA 30265-6601 — (678) 633-3500
  • 3000 Hospital Blvd, Roswell, GA 30076-4915 — (770) 644-1570

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 070551 (GA)
Ophthalmology Physician Taxonomy 207W00000X · Licence ME107645 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence 036173876 (IL)

Record details

NPI number1366602005
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2008
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address2500 Hospital Blvd Ste 440, Roswell, GA 30076-4919

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Also practisesOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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