Individual provider Active NPI

Maria Sostre

  • Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1104019165
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN124958 Issued in GA
Practice address
2779 Cobb Pkwy NW
Kennesaw, GA 30152-3437
Phone
(678) 732-1516
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN124958 NP GA
Nurse Practitioner 363L00000X RN124958 GA Primary

Addresses

Primary practice location

2779 Cobb Pkwy NW
Kennesaw, GA 30152-3437

Mailing address

926 Sandringham Dr
Alpharetta, GA 30004-4976
Phone (470) 989-0131

Other practice location 1

120 Marietta Hwy
Canton, GA 30114-2303
Phone (678) 732-1406

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
I20080516000442 GA Practitioner - Nurse Practitioner 4183703648 Reassigns benefits to 2 organizations

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
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

2779 N Cobb Pkwy
Kennesaw, GA 30152-3437
Phone (678) 732-1516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN124958 NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Jan 26, 2021 Accepting new patients
Piedmont Professional Services, LLC CurrentSince Aug 1, 2017 Accepting new patients
True North Health Navigation LLC CurrentSince Jan 26, 2021 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients
The Healthcaring Clinic of Georgia, LLC Family PastSince May 7, 2013 Accepting new patients
David E Kim MD PC PastSince Jul 1, 2019 Accepting new patients

Locations

120 Marietta Hwy
Canton, GA 30114
Phone (678) 732-1510

1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

2779 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (678) 732-1516

695 W Crossville Rd
Roswell, GA 30075
Phone (678) 732-1531

Organizations & group practices 6

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1104019165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 SANDRINGHAM DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044976",
            "telephone_number": "470-989-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 COBB PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523437",
            "telephone_number": "678-732-1516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Marietta Hwy",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301142303",
            "country_code": "US",
            "telephone_number": "678-732-1406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSTRE",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN124958 NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN124958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.