Individual provider Active NPI

Asia Karenina Deslattes, NP-C

  • Family Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1174096721
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN228451 Issued in GA
Practice address
1105 Burleyson Rd
Dalton, GA 30720-3181
Phone
(706) 278-4640
Fax
(706) 275-6599
NPI assigned
Jan 7, 2019
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 RN228451 GA Primary

Addresses

Primary practice location

1105 Burleyson Rd
Dalton, GA 30720-3181

Mailing address

105 JW Plaza Dr SE Ste 1
Calhoun, GA 30701-1503
Phone (706) 383-5622

Other names 1

  • Asia K Garcia Former name

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
I20190502000472 GA Practitioner - Nurse Practitioner 8527300078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Obstetrics and Gynecology, PCGroup PAC ID 5092701029, 11 clinicians

Practice addresses (Care Compare)

1105 Burleyson Rd
Dalton, GA 30720-3181
Phone (706) 278-4640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
72.74
Improvement activities
40
Cost
88.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN228451GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Georgia Inc CurrentSince Mar 18, 2019 Accepting new patients
Associates in Obstetrics & Gynecology, PC CurrentSince Oct 4, 2021 Accepting new patients

Locations

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

105 Jw Plaza Dr SE
Ste 1
Calhoun, GA 30701
Phone (706) 278-4640

109 Hospital Dr
Calhoun, GA 30701
Phone (706) 279-2635

1105 Burleyson Rd
Dalton, GA 30720
Phone (706) 278-4640

1109 Burleyson Rd
Ste 205
Dalton, GA 30720
Phone (706) 278-4640

1250 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-4640

Interoperability endpoints

  • Direct secure messaging: asia.deslattes.1@4044.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4044/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1174096721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JW PLAZA DR SE STE 1",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011503",
            "telephone_number": "706-383-5622",
            "fax_number": "833-884-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BURLEYSON RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203181",
            "telephone_number": "706-278-4640",
            "fax_number": "706-275-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESLATTES",
        "first_name": "ASIA",
        "middle_name": "KARENINA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN228451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASIA",
            "last_name": "GARCIA",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.