Active NPI
Mylene P. James, MSN, OCN, NP
- Nurse Practitioner
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN106466
- Practice address
- 2712 Lawrenceville Hwy
Decatur, GA 30033-2512 - Phone
- (770) 496-5555
- Fax
- (770) 939-2887
- NPI assigned
- Sep 9, 2010
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN106466 | GA | Primary |
Addresses
Primary practice location
2712 Lawrenceville Hwy
Decatur, GA 30033-2512
Mailing address
1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072
Phone (770) 496-5555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920359537F | Medicaid | GA | |
| 920359537G | Medicaid | GA | |
| 202I502090 | Other | GA | MEDICARE PTAN |
Other names 1
- Ms. Mylene Perez
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mylene.jamesmsnrnnpcocn.p1@direct.gacancer.nextgenshare.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1045 Southcrest Dr
Suite 200
Stockbridge, GA 30281-6113
Phone (678) 289-0549
2712 Lawrenceville Hwy
Decatur, GA 30033-2512
Phone (770) 496-5555
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.19 of 100
- Quality
- 69.24
- Improvement activities
- 40
- Cost
- 51.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN106466 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Cancer Institute Professional Services G LLC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Current | Accepting new patients | |
| Northside Imaging LLC | Past | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Past | Accepting new patients | |
| Northside Hospital, Inc. | Past | Accepting new patients |
Locations
1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555
2712 Lawrenceville Hwy
Decatur, GA 30033
Phone (770) 496-5555
6300 Hospital Pkwy
Ste 300
Johns Creek, GA 30097
Phone (770) 623-8965
1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549
Interoperability endpoints
- mylene.jamesmsnrnnpcocn.p1@direct.gacancer.nextgenshare.com
Organizations & group practices 5
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.
-
- Hematology & Oncology Physician
- Sandy Springs, GA
- NPI 1144571381
-
- Durable Medical Equipment & Medical Supplies
- Blue Ridge, GA
- NPI 1629329792
-
- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1073572723
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1316394976
-
- Hematology & Oncology Physician
- Atlanta, GA
- NPI 1124379284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1184931313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 SAVOY DR",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411072",
"telephone_number": "770-496-5555",
"fax_number": "770-939-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 LAWRENCEVILLE HWY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300332512",
"telephone_number": "770-496-5555",
"fax_number": "770-939-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "MYLENE",
"middle_name": "P.",
"name_prefix": "Ms.",
"credential": "MSN, OCN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN106466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "920359537F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "920359537G",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "202I502090",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mylene.jamesmsnrnnpcocn.p1@direct.gacancer.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "2712 Lawrenceville Hwy",
"city": "Decatur",
"state": "GA",
"country_code": "US",
"postal_code": "300332512",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MYLENE",
"last_name": "PEREZ",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.