Individual provider Active NPI

Hanieh Shirgir Rotell, FNP-C

  • Family Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1154952356
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216187 Issued in GA
Practice address
3905 Brookside Pkwy Ste 203
Alpharetta, GA 30022-4425
Phone
(678) 668-4688
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN216187 GA
Allergy Physician 207KA0200X RN216187 GA
Family Nurse Practitioner 363LF0000X RN216187 GA Primary

Addresses

Primary practice location

3905 Brookside Pkwy Ste 203
Alpharetta, GA 30022-4425

Mailing address

3725 Dalwood Dr
Suwanee, GA 30024-6642
Phone (678) 549-2572

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
I20230908003057 GA Practitioner - Nurse Practitioner 9032573035 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN216187GAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Chacko M.D. P.C Allergy CurrentSince Jul 24, 2023 Accepting new patients

Locations

3905 Brookside Pkwy
Ste 203
Alpharetta, GA 30022
Phone (678) 668-4688

960 Sanders Rd
Ste 500
Cumming, GA 30041
Phone (312) 576-4598

5555 Peachtree Dunwoody Rd
Ste 135
Sandy Springs, GA 30342
Phone (404) 257-0039

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1154952356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 DALWOOD DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246642",
            "telephone_number": "678-549-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 203",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224425",
            "telephone_number": "678-668-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTELL",
        "first_name": "HANIEH",
        "middle_name": "SHIRGIR",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN216187",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "RN216187",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.