Individual provider Active NPI

Haley Nicole Sellers, FNP

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1083293260
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP247896 Issued in GA
Practice address
4150 Dep Bill Cantrell Memorial Rd Ste 300
Cumming, GA 30040-3007
Phone
(770) 886-8111
Fax
(770) 205-8539
NPI assigned
Apr 6, 2021
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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-NP247896 GA Primary

Addresses

Primary practice location

4150 Dep Bill Cantrell Memorial Rd Ste 300
Cumming, GA 30040-3007

Mailing address

4150 Dep Bill Cantrell Memorial Rd Ste 300
Cumming, GA 30040-3007
Phone (770) 886-8111

Other names 1

  • Haley Leverette Former 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
I20211026002897 GA Practitioner - Nurse Practitioner 4082002993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Resurgens, LLCGroup PAC ID 1153224142, 184 clinicians

Practice addresses (Care Compare)

100 Mountain View Dr
Suite 100
Cumming, GA 30040-2434
Phone (770) 889-2163

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

400 Dawson Commons Cir
Suite 430
Dawsonville, GA 30534-6269
Phone (706) 265-8790

4150 Deputy Bill Cantrell Memorial Rd
Suite 300
Cumming, GA 30040
Phone (770) 886-8111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP247896GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgens, LLC CurrentSince Oct 25, 2021 Accepting new patients
Resurgens, LLC CurrentSince Nov 18, 2025 Accepting new patients
Resurgens, LLC CurrentSince Oct 25, 2021 Accepting new patients

Locations

4150 Dep Bill Cantrell Memorial Rd
Ste 300
Cumming, GA 30040
Phone (770) 886-8111

400 Dawson Commons Cir
Ste 410
Dawsonville, GA 30534
Phone (470) 773-6725

1285 Hembree Rd
Ste 200A
Roswell, GA 30076
Phone (770) 475-2710

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

4025 Johns Creek Pkwy
Ste 100
Suwanee, GA 30024
Phone (404) 575-4500

Interoperability endpoints

  • Direct secure messaging: haley.sellers.1@15749.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1083293260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 DEP BILL CANTRELL MEMORIAL RD STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403007",
            "telephone_number": "770-886-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEP BILL CANTRELL MEMORIAL RD STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403007",
            "telephone_number": "770-886-8111",
            "fax_number": "770-205-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "HALEY",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP247896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "LEVERETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.