Individual provider Active NPI

Loredana Pop

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1144785726
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018002741 Issued in GA
Practice address
2150 Peachford Rd Ste T
Atlanta, GA 30338-6539
Phone
(404) 567-6944
Fax
(404) 796-7645
NPI assigned
Feb 7, 2019
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 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 2018002741 GA Primary

Addresses

Primary practice location

2150 Peachford Rd Ste T
Atlanta, GA 30338-6539

Mailing address

2150 Peachford Rd Ste T
Atlanta, GA 30338-6539
Phone (404) 567-6944

Other identifiers 1

IdentifierTypeStateIssuer
853060721OtherCOVIDCAREGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NE, MO, OR, WA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20230329002186 AR Practitioner - Nurse Practitioner 2163819780 Reassigns benefits to 1 organization
I20230530000635 NE Practitioner - Nurse Practitioner 2163819780 Reassigns benefits to 1 organization
I20230802003643 MO Practitioner - Nurse Practitioner 2163819780 Reassigns benefits to 1 organization
I20250520000599 OR Practitioner - Nurse Practitioner 2163819780 Reassigns benefits to 1 organization
I20250721002741 WA Practitioner - Nurse Practitioner 2163819780 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNWAMDRegistered Nurse
2018002741GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Single Specialty CurrentSince Jul 2, 2023 Accepting new patients
Pediatric Health Center of Conyers, PC Single Specialty Past Accepting new patients
Pediatric Health Care of Conyers Single Specialty Past Accepting new patients

Locations

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1144785726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD STE T",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386539",
            "telephone_number": "404-567-6944",
            "fax_number": "404-796-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD STE T",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386539",
            "telephone_number": "404-567-6944",
            "fax_number": "404-796-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POP",
        "first_name": "LOREDANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "2018002741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVIDCAREGA",
            "identifier": "853060721",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.