Individual provider Active NPI

Ganielle Hooper, NP

  • Pediatric Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1134460207
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN271087 Issued in GA
Practice address
2551 Roswell Rd Ste 420
Marietta, GA 30062-4761
Phone
(678) 648-7888
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X 20171710 MD
Pediatric Nurse Practitioner 363LP0200X RN271087 GA Primary

Addresses

Primary practice location

2551 Roswell Rd Ste 420
Marietta, GA 30062-4761

Mailing address

1015 Wynmont Dr
Marietta, GA 30062-4934
Phone (301) 385-3438

Other practice location 1

2551 Roswell Rd Ste 420
Marietta, GA 30062-4761
Phone (678) 648-7888

Other names 1

  • Mrs. Ganielle Chappell Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN271087GAMDPediatric Nurse Practitioner
20171710MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Hope, LLC Pediatrics Current Accepting new patients

Locations

2551 Roswell Rd
Ste 420
Marietta, GA 30062
Phone (678) 648-7888

Organizations & group practices 1

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": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1134460207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 WYNMONT DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624934",
            "telephone_number": "301-385-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 ROSWELL RD STE 420",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624761",
            "telephone_number": "678-648-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2551 Roswell Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300624761",
            "country_code": "US",
            "telephone_number": "678-648-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "GANIELLE",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "20171710",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN271087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GANIELLE",
            "last_name": "CHAPPELL",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.