Roxann Emmons, RN

Primary specialty

Peritoneal Dialysis Registered NurseTaxonomy code 163WD1100X

License

RN274531 Issued in GA

Practice address

130 Quail CV
Fayetteville, GA 30215-1938

Phone

(404) 200-2280

NPI assigned

Jan 26, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1003406844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 QUAIL CV",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 QUAIL CV",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151938",
            "telephone_number": "404-200-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "ROXANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "GA",
            "license": "RN274531",
            "primary": false
        },
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "GA",
            "license": "RN274531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Elliott, LMT
• Patricia Marie Ellis, PA-C
• Shedrion Zhane Elom, CADCII
• Nora Elwell
• Emerging Speech Therapy
• EMS
• James England, DPH
• Epiphany Dermatology of Georgia, LLC
• Eqol, Inc
• ER Wisecare Health & Case Management Services LLC

• Registered Nurse in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.