Individual provider Active NPI

Veronica D'Antignac

  • Nurse Practitioner
  • Lithonia, GA
National Provider Identifier
1194823799
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN069143 Issued in GA
Practice address
8225 Mall Pkwy Ste 100
Lithonia, GA 30038-6996
Phone
(770) 981-2100
Fax
(770) 808-8445
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN069143 GA Primary

Addresses

Primary practice location

8225 Mall Pkwy Ste 100
Lithonia, GA 30038-6996

Mailing address

8225 Mall Pkwy Ste 100
Lithonia, GA 30038-6996
Phone (770) 981-2100

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
I20070723000050 GA Practitioner - Nurse Practitioner 0648371518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Specialty Associates, LLC CurrentSince Aug 27, 2022 Accepting new patients
Stonecrest Family Medicine PLLC Past Accepting new patients
Piedmont Providers LLC PastSince Dec 10, 2018 Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients

Locations

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1776 Old Spring House Ln
Atlanta, GA 30338
Phone (770) 454-0091

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

8225 Mall Pkwy
Ste 100
Stonecrest, GA 30038
Phone (770) 981-2100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: vdantignac36987@direct.emory.org

Organizations & group practices 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1194823799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 MALL PKWY STE 100",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386996",
            "telephone_number": "770-981-2100",
            "fax_number": "770-808-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 MALL PKWY STE 100",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386996",
            "telephone_number": "770-981-2100",
            "fax_number": "770-808-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANTIGNAC",
        "first_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN069143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.