Individual provider Active NPI

Priscilla Elyse Colpo, FNP-C

  • Family Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1053073510
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN262421 Issued in GA
Practice address
3634 Highlands Pkwy SE
Smyrna, GA 30082-5184
Phone
(770) 970-0858
NPI assigned
Oct 12, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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 RN262421 GA Primary

Addresses

Primary practice location

3634 Highlands Pkwy SE
Smyrna, GA 30082-5184

Mailing address

193 Fred Bishop Dr
Canton, GA 30114-7267
Phone (770) 688-5837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN262421GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberlynn R. Richards, MD, PC CurrentSince Nov 18, 2025 Accepting new patients

Locations

3634 Highlands Pkwy SE
Smyrna, GA 30082
Phone (404) 272-1724

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1053073510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 FRED BISHOP DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147267",
            "telephone_number": "770-688-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 HIGHLANDS PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825184",
            "telephone_number": "770-970-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLPO",
        "first_name": "PRISCILLA",
        "middle_name": "ELYSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN262421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.