Individual provider Active NPI

David N Isaac, FNP-C

  • Family Nurse Practitioner
  • Riverdale, GA
National Provider Identifier
1093765067
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 136301 NP Issued in GA
Practice address
11 Upper Riverdale Rd
Riverdale, GA 30274-0000
Phone
(770) 991-8000
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN136301 GA
Family Nurse Practitioner 363LF0000X RN 136301 NP GA Primary

Addresses

Primary practice location

11 Upper Riverdale Rd
Riverdale, GA 30274-0000

Mailing address

235 Peachtree St NE
North Tower, Suite 2100
Atlanta, GA 30303-1401
Phone (770) 994-9326

Other identifiers 4

IdentifierTypeStateIssuer
589185903IMedicaidGA
01190343OtherGAAMERIGROUP
589185903GMedicaidGA
589185903HMedicaidGA

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
I20040513000140 GA Practitioner - Nurse Practitioner 1254321268 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Pain and Spine Associates, LLCGroup PAC ID 7517370299, 19 clinicians
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

1101 Old Philadelphia Rd
Suite G
Jasper, GA 30143-4069
Phone (678) 971-4167

9390 The Landing Dr
Douglasville, GA 30135-7180
Phone (770) 947-1112

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 136301 NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coweta Emergency Group LLC CurrentSince Apr 15, 2012 Accepting new patients
Southern Pain and Spine Associates, LLC CurrentSince Jan 19, 2026 Accepting new patients
Pain Consultants of Atlanta LLC CurrentSince Mar 14, 2015 Accepting new patients
Southern Pain and Spine Associates LLC CurrentSince Jan 19, 2026 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Feb 18, 2022 Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Georgia Emergency Associates Past Accepting new patients
Southern Pain and Spine Associates LLC PastSince May 16, 2022 Accepting new patients
Emerginet SRMC, LLC Past Accepting new patients

Locations

1800 Peachtree St NW
Ste 750
Atlanta, GA 30309
Phone 40435176541011

1800 Ptree St NW
Ste 400
Atlanta, GA 30309
Phone (404) 253-3655

9390 The Landing Dr
Douglasville, GA 30135
Phone (770) 947-1112

590 Lanier Ave W
Fayetteville, GA 30214

1233 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone 6789714167160

1233 Highway 54 W
Ste 207
Fayetteville, GA 30214

601 Broad St SE
Ste B
Gainesville, GA 30501
Phone (678) 989-1515

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

1101 Old Philadelphia Rd
Ste G
Jasper, GA 30143

1101 Old Philadelphia Rd
Ste G100
Jasper, GA 30143

3231 Highway 34 E
Ste C
Newnan, GA 30265
Phone (770) 251-8940

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

3579 Highway 138 SE
Ste 204
Stockbridge, GA 30281
Phone (404) 996-9500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGACD
  • FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1093765067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PEACHTREE ST NE",
            "address_2": "NORTH TOWER, SUITE 2100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031401",
            "telephone_number": "770-994-9326",
            "fax_number": "770-994-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302740000",
            "telephone_number": "770-991-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "DAVID",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN136301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN 136301  NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589185903I",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01190343",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589185903G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589185903H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.