Active NPI
Renee Christie
- Family Nurse Practitioner
- Austell, GA
National Provider Identifier
1174930762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2269061
- Practice address
- 3999 Austell Rd Ste 901
Austell, GA 30106-1160 - Phone
- (770) 809-3036
- NPI assigned
- Jul 16, 2014
- Last updated
- Jun 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2269061 | MA | Primary |
Addresses
Primary practice location
3999 Austell Rd Ste 901
Austell, GA 30106-1160
Mailing address
3350 Riverwood Pkwy SE
Suite 1850
Atlanta, GA 30339
Phone (770) 809-3036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2269061 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstreet of Georgia PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Piedmont Urgentcare of Wellstreet
- Non-Pharmacy Dispensing Site
- Atlanta, GA
- NPI 1295249084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1174930762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 RIVERWOOD PKWY SE",
"address_2": "SUITE 1850",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30339",
"telephone_number": "770-809-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3999 AUSTELL RD STE 901",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061160",
"telephone_number": "770-809-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "2269061",
"primary": true
}
],
"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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.