Individual provider Active NPI

Florence Achilihu Adiele, NP

  • Family Nurse Practitioner
  • Locust Grove, GA
National Provider Identifier
1093370686
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN150335 Issued in GA
Practice address
5293 Heron Bay Blvd
Locust Grove, GA 30248-7104
Phone
(706) 769-7658
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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 RN150335 GA Primary

Addresses

Primary practice location

5293 Heron Bay Blvd
Locust Grove, GA 30248-7104

Mailing address

5293 Heron Bay Blvd
Locust Grove, GA 30248-7104
Phone (706) 769-7658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210809003185 GA Practitioner - Nurse Practitioner 0648674945 Reassigns benefits to 2 organizations
I20241211000067 FL Practitioner - Nurse Practitioner 0648674945

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1093370686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5293 HERON BAY BLVD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487104",
            "telephone_number": "706-769-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5293 HERON BAY BLVD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487104",
            "telephone_number": "706-769-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIELE",
        "first_name": "FLORENCE",
        "middle_name": "ACHILIHU",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN150335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

Verify at the official NPI Registry.