Active NPI
Ganielle Hooper, NP
- Pediatric Nurse Practitioner
- Marietta, GA
National Provider Identifier
1134460207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN271087
- 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
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN271087 | GA | MD | Pediatric Nurse Practitioner |
| 20171710 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.