Individual provider Active NPI

Yaa Acheampong, FNP

  • Family Nurse Practitioner
  • Suwanee, GA
National Provider Identifier
1134710460
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222069 Issued in GA
Practice address
5370 Laurel Springs Pkwy
Suwanee, GA 30024-6027
Phone
(678) 947-6614
NPI assigned
Jan 29, 2021
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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 222069 GA Primary

Addresses

Primary practice location

5370 Laurel Springs Pkwy
Suwanee, GA 30024-6027

Mailing address

3805 Kirkwood Run NW
Kennesaw, GA 30144-5771
Phone (404) 579-8244

Other practice location 1

169 Main St
Woonsocket, RI 02895-4330
Phone (401) 762-6400

Other practice location 2

3805 Kirkwood Run NW
Kennesaw, GA 30144-5771
Phone (404) 579-8244

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL URL
Other URL URL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210412000247 GA Practitioner - Nurse Practitioner 4880002963 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

120 Greystone Power Blvd
Dallas, GA 30157-8297

1550 Kennesaw Due W Rd NW
Kennesaw, GA 30152-4338

3980 Jiles Rd NW
Kennesaw, GA 30144-1109
Phone (678) 504-0100

4480 N Cooper Lake Rd SE
Smyrna, GA 30082-4623

4480 N Cooper Lake Serd
Smyrna, GA 30082-4623

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

644 Thornton Rd
Lithia Springs, GA 30122-1518
Phone (678) 915-9887

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
222069GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince May 1, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1134710460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 KIRKWOOD RUN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445771",
            "telephone_number": "404-579-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 LAUREL SPRINGS PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246027",
            "telephone_number": "678-947-6614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Main St",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954330",
            "country_code": "US",
            "telephone_number": "401-762-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3805 Kirkwood Run NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301445771",
            "country_code": "US",
            "telephone_number": "404-579-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHEAMPONG",
        "first_name": "YAA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "222069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "169 Main St",
            "city": "Woonsocket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028954330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "3805 Kirkwood Run NW",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301445771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.