Individual provider Active NPI

Wimberly Dayton, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1104429281
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN207599 Issued in GA
Practice address
659 Auburn Ave NE
Atlanta, GA 30312-5412
Phone
(404) 851-8000
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 RN207599 GA Primary

Addresses

Primary practice location

659 Auburn Ave NE
Atlanta, GA 30312-5412

Mailing address

659 Auburn Ave NE
Atlanta, GA 30312-5412
Phone (404) 660-3976

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
I20230810002984 GA Practitioner - Nurse Practitioner 4688036494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Primary Care Professional Services,LLCGroup PAC ID 9638343924, 313 clinicians

Practice addresses (Care Compare)

960 Woodstock Pkwy
Suite 300
Woodstock, GA 30188-4867
Phone (770) 517-2145

Hospital & facility affiliations

  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN207599GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T Douglas Gurley MD LLC CurrentSince May 29, 2023 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Jun 17, 2024 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Jun 17, 2024 Accepting new patients

Locations

659 Auburn Ave NE
Ste 156
Atlanta, GA 30312
Phone (404) 888-0228

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

960 Woodstock Pkwy
Ste 300
Woodstock, GA 30188
Phone (770) 517-2145

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1104429281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 AUBURN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303125412",
            "telephone_number": "404-660-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 AUBURN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303125412",
            "telephone_number": "404-851-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYTON",
        "first_name": "WIMBERLY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.