Individual provider Active NPI

Deborah Prather, FNP-C

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1063690964
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP123825 Issued in GA
Practice address
509 N Expressway
Griffin, GA 30223-2073
Phone
(943) 202-7790
Fax
(470) 986-7152
NPI assigned
Feb 4, 2008
Last updated
Oct 29, 2025By the provider in NPPES
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-NP123825 GA Primary

Addresses

Primary practice location

509 N Expressway
Griffin, GA 30223-2073

Mailing address

509 N Expressway
Griffin, GA 30223-2073
Phone (943) 202-7790

Other practice location 1

3334 Highway 155
Locust Grove, GA 30248-3513
Phone (770) 305-7929

Other identifiers 3

IdentifierTypeStateIssuer
003205587AMedicaidGA
12354545OtherCAQH
061407OtherGABC/BS OF GA GROUP #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dprather548122@directwellstar.org

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
I20040513001189 GA Practitioner - Nurse Practitioner 5991795759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
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)

7990 Wells St
Suite 120
Senoia, GA 30276-2024
Phone (678) 535-0220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP123825GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Apr 3, 2025 Accepting new patients
The Hospital Authority of Monroe County, Georgia Current Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

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

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

88 Martin Luther King Jr Dr
#D
Forsyth, GA 31029
Phone (419) 994-2521

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": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1063690964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N EXPRESSWAY",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302232073",
            "telephone_number": "943-202-7790",
            "fax_number": "470-986-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N EXPRESSWAY",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302232073",
            "telephone_number": "943-202-7790",
            "fax_number": "470-986-7152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3334 Highway 155",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "GA",
            "postal_code": "302483513",
            "country_code": "US",
            "telephone_number": "770-305-7929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "DEBORAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "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-NP123825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003205587A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12354545",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF GA GROUP #",
            "identifier": "061407",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dprather548122@directwellstar.org",
            "affiliation": "N",
            "address_1": "509 N Expressway",
            "city": "Griffin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302232073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.