Active NPI
Selena Anthony, WHNP-BC, FNP-C
- Women's Health Nurse Practitioner
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN1981374
- Practice address
- 1700 Hospital South Dr Ste 301
Austell, GA 30106-8116 - Phone
- (770) 819-9211
- NPI assigned
- Apr 2, 2014
- Last updated
- Apr 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN198374 | GA | |
| Women's Health Nurse Practitioner | 363LW0102X | RN1981374 | GA | Primary |
| Registered Nurse | 163W00000X | RN198374 | GA |
Addresses
Primary practice location
1700 Hospital South Dr Ste 301
Austell, GA 30106-8116
Mailing address
4400 Brownsville Rd Ste 105-3620
Powder Springs, GA 30127-3199
Phone (770) 819-9211
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
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Hospital S Dr
Suite 301
Austell, GA 30106-8116
Phone (770) 819-9211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN198374 | GA | MD | Family Nurse Practitioner |
| RN1981374 | GA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of Atlanta, LLC | Current | Accepting new patients | |
| Pediatrix Medical Group of Georgia, P.C. | Past | Accepting new patients |
Locations
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1700 Hospital South Dr
Ste 301
Austell, GA 30106
Phone (770) 819-9211
Interoperability endpoints
- selena.anthonywhnp.p40@direct.mednax.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Atlanta, GA
- NPI 1396970109
-
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- Sunrise, FL
- NPI 1972695260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1144648528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 BROWNSVILLE RD STE 105-3620",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301273199",
"telephone_number": "770-819-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 HOSPITAL SOUTH DR STE 301",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068116",
"telephone_number": "770-819-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "SELENA",
"credential": "WHNP-BC, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-02",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN198374",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN1981374",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN198374",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.