Marietta Newborn Care LLC

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

R065909 Issued in GA

Legal business name

MARIETTA NEWBORN CARE LLC

Practice address

50 Plaza Way
Suite E
Marietta, GA 30060

Phone

(404) 454-9716

Fax

(770) 793-9260

NPI assigned

May 22, 2008

Last updated

Mar 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia B Hunt, NPNPI 1811996655

Title

Owner

Phone

(770) 235-2462

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia B. Hunt, NP

  • Neonatal Nurse Practitioner
  • Marietta, GA
  • NPI 1811996655
  NPD Authorized official
• Jill Melaine Patrick, NP

  • Neonatal Nurse Practitioner
  • Marietta, GA
  • NPI 1114290764
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1083871339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 COUNTRY GARDEN WALK",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30152",
            "telephone_number": "770-235-2462",
            "fax_number": "770-974-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PLAZA WAY",
            "address_2": "SUITE E",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "404-454-9716",
            "fax_number": "770-793-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA NEWBORN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-235-2462",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "GA",
            "license": "R065909",
            "primary": true
        },
        {
            "code": "364SN0000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neonatal",
            "state": "GA",
            "license": "R047729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000585505B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000585494B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marietta Medical Associates LLC
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• Marietta Neonatology, P.C.
• Marietta Neurology and Headache Center, PC
• Marietta Northside Hospital Services Corp (Marietta Specialty Pharmacy)
• Marietta OB GYN Affiliates 2 LLC
• Marietta OB GYN Affiliates, P.a.
• Marietta OB GYN Affiliates, P.a.
• Marietta Opco, LLC (Tower Road Healthcare and Rehabilitation Center)

• Neonatal Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Neonatal Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.