Gopika Naidu, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Loganville, GA
NPI 1003226069 · NPPES record last updated Jul 14, 2014
Key facts
- NPI
- 1003226069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN214578 (GA)
- Practice address
- 155 Lee Byrd Road
Loganville, GA 30052 - Phone
- (770) 466-5902
- NPI assigned
- Apr 30, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Piedmont Professional Services LLC
Practice addresses (Care Compare)
3003 Old Alabama Rd
Alpharetta, GA 30022-8594
Phone (678) 732-1507
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151023000867 | GA | Practitioner - Nurse Practitioner | 1951610435 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Current |
Accepting new patients | |
| Piedmont Medical Care Corporation | Current |
Accepting new patients | |
| Atlanta Medical and Aesthetic Center Inc. | Past | Accepting new patients | |
| Sy Med LLC | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
3003 Old Alabama Rd
Johns Creek, GA 30022
Phone (678) 566-3284
2779 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (678) 732-1516
2988 Shallowford Rd
Marietta, GA 30066
Phone (678) 560-1871
695 W Crossville Rd
Roswell, GA 30075
Phone (678) 732-1531
551 N Cherokee Rd
Social Circle, GA 30025
Phone (678) 342-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN214578 | GA | Yes |
Addresses
Primary practice location
155 Lee Byrd Road
Loganville, GA 30052
Mailing address
155 Lee Byrd Rd
BLDG 1, Suite 130
Loganville, GA 30052-2310
Phone (770) 466-5902
Other providers in Loganville, GA
- Michael Robert Munsey
- Cynthia Rose Murphy
- Yasmine Murray
- Nakeeya F Mussaji
- Mariam Mustapha
- Sarah A Nash
- National Vision Inc
- Kevin Navarrete
- Saghar Navid
- NDC Family Care Inc
All providers in Loganville, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.