Individual provider Active NPI

Xiaoyan Li

  • Women's Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1104469600
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN228624 Issued in GA
Practice address
550 Peachtree St NE Ste 1275
Atlanta, GA 30308-2240
Phone
(404) 872-3121
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 RN228624 GA
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X RN228624 GA Primary

Addresses

Primary practice location

550 Peachtree St NE Ste 1275
Atlanta, GA 30308-2240

Mailing address

3902 Swallow Woods PT NE
Marietta, GA 30066-8201
Phone (404) 565-3685

Other practice location 1

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2500

Other practice location 2

3635 Peachtree Industrial Blvd Ste 150
Duluth, GA 30096-2808
Phone (770) 495-4935

Other practice location 3

3180 N Point Pkwy Ste 205
Alpharetta, GA 30005-4381
Phone (770) 777-4933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN228624GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Perinatal Associates Single Specialty CurrentSince Jan 21, 2024 Accepting new patients
Pagemed, LLC Single Specialty PastSince Jan 21, 2024 Accepting new patients

Locations

550 Peachtree St NE
Ste 1275
Atlanta, GA 30308
Phone (404) 872-3121

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1104469600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 SWALLOW WOODS PT NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300668201",
            "telephone_number": "404-565-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE STE 1275",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082240",
            "telephone_number": "404-872-3121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Hospital Blvd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764915",
            "country_code": "US",
            "telephone_number": "770-751-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3635 Peachtree Industrial Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300962808",
            "country_code": "US",
            "telephone_number": "770-495-4935",
            "fax_number": "866-539-7036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 N Point Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054381",
            "country_code": "US",
            "telephone_number": "770-777-4933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "XIAOYAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN228624",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN228624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.