Individual provider Active NPI

Garland R.S. Andres, APRN

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1083850630
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN159210 Issued in GA
Practice address
5780 Peachtree Dunwoody Rd NE
# 295
Atlanta, GA 30342-1554
Phone
(404) 255-3633
Fax
(404) 255-7599
NPI assigned
Jan 5, 2009
Last updated
Jan 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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 RN159210 GA Primary

Addresses

Primary practice location

5780 Peachtree Dunwoody Rd NE
# 295
Atlanta, GA 30342-1554

Mailing address

5780 Peachtree Dunwoody Rd NE
# 295
Atlanta, GA 30342-1554
Phone (404) 255-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2013 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Women's Health Group, P.C. Past Accepting new patients
Northside Surgical Professional Services LLC PastSince Apr 1, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1083850630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD NE",
            "address_2": "# 295",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421554",
            "telephone_number": "404-255-3633",
            "fax_number": "404-255-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD NE",
            "address_2": "# 295",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421554",
            "telephone_number": "404-255-3633",
            "fax_number": "404-255-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "GARLAND",
        "middle_name": "R.S.",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN159210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.