Individual provider Active NPI

Ansley Owens Branch, RN, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1124542543
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN226216 Issued in GA
Practice address
1218 W Paces Ferry Rd NW Ste 108
Atlanta, GA 30327-2308
Phone
(678) 986-3168
Fax
(404) 261-3996
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 RN226216 GA Primary

Addresses

Primary practice location

1218 W Paces Ferry Rd NW Ste 108
Atlanta, GA 30327-2308

Mailing address

1218 W Paces Ferry Rd NW Ste 108
Atlanta, GA 30327-2308
Phone (404) 233-3937

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN226216GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124542543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 W PACES FERRY RD NW STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272308",
            "telephone_number": "404-233-3937",
            "fax_number": "404-261-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W PACES FERRY RD NW STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272308",
            "telephone_number": "678-986-3168",
            "fax_number": "404-261-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "ANSLEY",
        "middle_name": "OWENS",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN226216",
            "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 Jul 21, 2022; 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.