Active NPI
Ramanda Raquel Dace, FNP-C
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1104492586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN291913
- Practice address
- 650 North Ave NE Ste S204
Atlanta, GA 30308-2705 - Phone
- (888) 663-6331
- NPI assigned
- May 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN291913 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN291913 | GA |
Addresses
Primary practice location
650 North Ave NE Ste S204
Atlanta, GA 30308-2705
Mailing address
650 North Ave NE Ste S204
Atlanta, GA 30308-2705
Phone (888) 663-6331
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Emory University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 N Ave NE
S204
Atlanta, GA 30308-2705
Phone (404) 504-6554
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN291913 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Physicians Group, LLC | Single Specialty | Current | Accepting new patients |
| T Douglas Gurley MD LLC | Single Specialty | Current | Accepting new patients |
Locations
650 North Ave NE
#S204
Atlanta, GA 30308
Phone (404) 504-6554
659 Auburn Ave NE
Ste 156
Atlanta, GA 30312
Phone (404) 888-0228
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": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1104492586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 NORTH AVE NE STE S204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082705",
"telephone_number": "888-663-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 NORTH AVE NE STE S204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082705",
"telephone_number": "888-663-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACE",
"first_name": "RAMANDA",
"middle_name": "RAQUEL",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN291913",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN291913",
"primary": false
}
],
"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 Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.