Hibba Akram, NP
Individual provider Active NPI Nurse Practitioner · Atlanta, GA
NPI 1205356342 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1205356342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN223987 (GA)
- Practice address
- 2045 Peachtree Rd NE Ste 333
Atlanta, GA 30309-1407 - Phone
- (404) 355-8804
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180604000589 | GA | Practitioner - Nurse Practitioner | 2264797703 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Nurse Practitioner | Current |
Accepting new patients |
| Eric a. Awad MD,LLC | Current |
Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
2045 Peachtree Rd NE
Ste 333
Atlanta, GA 30309
Phone (404) 355-8804
3650 Steve Reynolds Blvd
Duluth, GA 30096
Phone (770) 931-6010
20 Glenlake Pkwy
Sandy Springs, GA 30328
Phone (770) 677-6247
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN223987 | GA | Yes |
Addresses
Primary practice location
2045 Peachtree Rd NE Ste 333
Atlanta, GA 30309-1407
Mailing address
2765 Chicopee Dr
Atlanta, GA 30360-2636
Phone (404) 542-1214
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Permanente Medical Group |
Other providers in Atlanta, GA
- Umut Akova
- Atim Joseph Akpan
- Maia M Akpan
- Hannah Akpobiyeri
- Janel Akpuchukwu
- James Aksamit
- Margaret Maria Akstin
- Azuka S Akude
- Ogochukwu Akunne
- Chiemerie Akunyili
All providers in Atlanta, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.