Individual provider Active NPI

Andrea Logan Bossie, MS, RN, CNN, FNP-C

  • Family Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1033115142
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP112876 Issued in GA
Practice address
526 Bankhead Hwy Ste 101
Carrollton, GA 30117-2463
Phone
(770) 962-3642
Fax
(770) 962-3643
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP112876 GA Primary

Addresses

Primary practice location

526 Bankhead Hwy Ste 101
Carrollton, GA 30117-2463

Mailing address

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Other practice location 1

39C Oak Hill Ct Ste 101
Newnan, GA 30265-2392
Phone (770) 962-3642

Other practice location 2

870 Crestmark Dr Ste 201
Lithia Springs, GA 30122-2665
Phone (770) 962-3642

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040527000600 GA Practitioner - Nurse Practitioner 5496736217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

455 Philip Blvd
Suite 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN-NP112876GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cowry Medical Group, LLC CurrentSince Mar 3, 2025 Accepting new patients
Georgia Pain and Wellness Center CurrentSince Jul 7, 2025 Accepting new patients
Georgia Pain and Wellness Center CurrentSince Jul 7, 2025 Accepting new patients
Piedmont Providers LLC CurrentSince Sep 19, 2006 Accepting new patients

Locations

4450 Calibre Xing NW
Ste 1126
Acworth, GA 30101
Phone (470) 227-8130

1720 Mars Hill Rd NW
Ste 120380
Acworth, GA 30101

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1968 Peachtree Rd NW
Bldg 77
Atlanta, GA 30309
Phone (404) 605-4602

8570 Hospital Dr
Douglasville, GA 30134
Phone (470) 227-8130

455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889

870 Crestmark Dr
Ste 201
Lithia Springs, GA 30122
Phone (770) 739-5242

39C Oak Hill Ct
Ste 101
Newnan, GA 30265

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1033115142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 BANKHEAD HWY STE 101",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172463",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39C Oak Hill Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652392",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "870 Crestmark Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lithia Springs",
            "state": "GA",
            "postal_code": "301222665",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSSIE",
        "first_name": "ANDREA",
        "middle_name": "LOGAN",
        "name_prefix": "Mrs.",
        "credential": "MS, RN, CNN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP112876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.