Individual provider Active NPI

Erin Vise, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1174168280
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN239313 Issued in GA
Practice address
2429 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1713
Phone
(404) 691-9580
NPI assigned
Nov 12, 2019
Last updated
Dec 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN239313 GA Primary
Registered Nurse 163W00000X RN239313 GA

Addresses

Primary practice location

2429 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1713

Mailing address

2429 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1713
Phone (404) 691-9580

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Atlanta

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
I20220208002013 GA Practitioner - Nurse Practitioner 0345633780 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN239313GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Dec 21, 2021 Accepting new patients
Atlanta I.D. Group, PC CurrentSince Apr 15, 2024 Accepting new patients

Locations

2429 Mlk Jr Dr SW
Atlanta, GA 30311
Phone (404) 691-3344

275 Collier Rd NW
Ste 450
Atlanta, GA 30309
Phone (404) 351-8873

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

1365 Rock Quarry Rd
Ste 302
Stockbridge, GA 30281
Phone (770) 692-5830

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

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.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1174168280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111713",
            "telephone_number": "404-691-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111713",
            "telephone_number": "404-691-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISE",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN239313",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN239313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Atlanta",
            "affiliation": "N",
            "address_1": "2429 Martin Luther King Jr Dr SW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303111713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.