Individual provider Active NPI

Helen Clair Medlin, NP-C

  • Family Nurse Practitioner
  • Adairsville, GA
National Provider Identifier
1053572172
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN070135 Issued in GA
Practice address
255 Prosperity Way NE
Adairsville, GA 30121
Phone
(678) 721-0705
Fax
(678) 721-5116
NPI assigned
Jun 20, 2008
Last updated
Apr 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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 RN070135 GA Primary

Addresses

Primary practice location

255 Prosperity Way NE
Adairsville, GA 30121

Mailing address

255 Prosperity Way NE
Take Care Health @ Lowes Rome
Adairsville, GA 30103
Phone (706) 728-9151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000029 GA Practitioner - Nurse Practitioner 1951474501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Sep 1, 2018 Accepting new patients
Trinity Palliative Care of Ga CurrentSince Jan 14, 2025 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Oct 25, 2021 Accepting new patients
David E Kim MD PC PastSince Jul 1, 2019 Accepting new patients
The Healthcaring Clinic of Georgia, LLC Family PastSince May 7, 2013 Accepting new patients
Respiratory Consultants of Georgia LLC PastSince Jul 1, 2008 Accepting new patients

Locations

3540 Cobb Pkwy NW
Acworth, GA 30101
Phone (770) 974-3911

3660 Cedarcrest Rd
Ste 120
Acworth, GA 30101
Phone (770) 599-2477

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

3999 Austell Rd
Ste 901
Austell, GA 30106
Phone (770) 809-3032

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2481 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (770) 423-0000

Organizations & group practices 6

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1053572172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PROSPERITY WAY NE",
            "address_2": "TAKE CARE HEALTH @ LOWES ROME",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "30103",
            "telephone_number": "706-728-9151",
            "fax_number": "706-728-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PROSPERITY WAY NE",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "30121",
            "telephone_number": "678-721-0705",
            "fax_number": "678-721-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "HELEN",
        "middle_name": "CLAIR",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN070135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adairsville, GA

Sources for this page

Verify at the official NPI Registry.