Amelia Hassan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F01180706 Issued in GA

Practice address

1234 Bentley Estates Dr
Dacula, GA 30019-7786

Phone

(678) 507-7094

NPI assigned

Jan 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Choice Urgent Care, LLCGroup PAC ID 1951690213, 19 clinicians

Northside Urgent Care Holding LLCGroup PAC ID 4587984695, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Choice Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Buford, GA
  • NPI 1679948988
  Medicare reassignment Care Compare group NPD
• Northside Urgent Care Holding, LLC

  • Urgent Care Clinic/Center
  • Atlanta, GA
  • NPI 1679962237
  Medicare reassignment Care Compare group NPD
• Health Choice Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Sugar Hill, GA
  • NPI 1760857072
  NPD

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516492800000",
    "number": "1013425313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 BENTLEY ESTATES DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 BENTLEY ESTATES DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197786",
            "telephone_number": "678-507-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "AMELIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2018-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "F01180706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harbins Healthcare Inc
• Kelly Virga Harless, FNP-C
• Ashleigh Harper, PT
• Jasmine Yvonne Hart, LPC
• Ronald L Hart, MD
• Dezirae Hatchell, LPC
• Alan Barry Hatcher, D.D.S.
• Steven Ray Hatfield, DPT ATC
• Morgan Hatley, OTR
• Kimberly Hawthorne, LCSW

• Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.