Individual provider Active NPI

Alyssa Sellers Garner, FNP

  • Family Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1073069225
Registry record updated Oct 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN215481 Issued in GA
Practice address
1436 Chattanooga Avenue
Dalton, GA 30720
Phone
(706) 226-2142
NPI assigned
Aug 28, 2016
Last updated
Oct 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21615 TN
Family Nurse Practitioner 363LF0000X RN215481 GA Primary

Addresses

Primary practice location

1436 Chattanooga Avenue
Dalton, GA 30720

Mailing address

1436 Chattanooga Avenue
Dalton, GA 30720

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
I20161230000381 GA Practitioner - Nurse Practitioner 1658652847 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

1436 Chattanooga Ave
Dalton, GA 30720-2637
Phone (706) 226-2142

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21615TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dalton Ear Nose & Throat Associates CurrentSince Oct 15, 2016 Accepting new patients
Dalton Ear Nose & Throat Associates CurrentSince Oct 15, 2016 Accepting new patients

Locations

705 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 629-1852

1436 Chattanooga Ave
Dalton, GA 30720
Phone (706) 226-2142

Interoperability endpoints

  • Direct secure messaging: alyssa.sellers.1@7297.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7297/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477180800000",
    "number": "1073069225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 CHATTANOOGA AVENUE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 CHATTANOOGA AVENUE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30720",
            "telephone_number": "706-226-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "ALYSSA",
        "middle_name": "SELLERS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21615",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN215481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.