Individual provider Active NPI

Petra Nozile, FNP-C

  • Family Nurse Practitioner
  • Hampton, GA
National Provider Identifier
1043676380
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP174065 Issued in GA
Practice address
1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone
(770) 707-0808
Fax
(770) 707-1580
NPI assigned
Dec 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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-NP174065 GA Primary

Addresses

Primary practice location

1058 Bear Creek Blvd
Hampton, GA 30228-1849

Mailing address

3333 Riverwood Pkwy SE Ste 250
Atlanta, GA 30339-3304
Phone (770) 914-0116

Other names 1

  • Petra Nozile Professional name

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
I20160226001117 GA Practitioner - Nurse Practitioner 7517262652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1175 N Glynn St
Suite 140
Fayetteville, GA 30214-1390
Phone (770) 881-8886

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416
Phone (770) 502-2121

1825 Hwy 34 E 1200
Newnan, GA 30265-6416

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

749 Lanier Ave W
Suite 1850
Fayetteville, GA 30214-7658
Phone (770) 835-4925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP174065GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC CurrentSince Nov 1, 2023 Accepting new patients
Undeniable Healthcare CurrentSince May 6, 2022 Accepting new patients
TLC of Georgia LLC Family CurrentSince Jan 2, 2018 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients
Jeffrey a. Sherman, MD, PC PastSince May 6, 2022 Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339
Phone (770) 914-0016

1101 Nortec Dr SE
Conyers, GA 30013
Phone (678) 374-7514

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

1058 Bear Creek Blvd
Hampton, GA 30228
Phone (770) 707-0808

3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170

2330 Patrick Henry Pkwy
Ste 200
McDonough, GA 30253

1280 Highway 74 S
Ste 100
Peachtree Cty, GA 30269
Phone (678) 961-5150

564 Crosstown Dr
Peachtree Cty, GA 30269
Phone (770) 282-2944

145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24615/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1043676380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 RIVERWOOD PKWY SE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393304",
            "telephone_number": "770-914-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 BEAR CREEK BLVD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281849",
            "telephone_number": "770-707-0808",
            "fax_number": "770-707-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOZILE",
        "first_name": "PETRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP174065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETRA",
            "last_name": "NOZILE",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hampton, GA

Sources for this page

Verify at the official NPI Registry.