Individual provider Active NPI

Alicia Bell

  • Skilled Nursing Facility
  • Atlanta, GA
National Provider Identifier
1205536752
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Practice address
3715 Northside Pkwy NW
Atlanta, GA 30327-2886
Phone
(770) 938-1757
Fax
(770) 938-1759
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 256826 GA
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3715 Northside Pkwy NW
Atlanta, GA 30327-2886

Mailing address

107 Bellington Dr
McDonough, GA 30253-8676
Phone (404) 883-7935

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
I20230530000211 GA Practitioner - Nurse Practitioner 4789041245 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256826GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Medical Consulting, P.C. CurrentSince Apr 22, 2023 Accepting new patients
Eastside Premier Nephrology & Hypertension PC Past Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

3715 Northside Pkwy NW
Ste 2100
Atlanta, GA 30327
Phone (770) 938-1757

3715 Northside Pkwy NW
Atlanta, GA 30327
Phone (678) 520-7332

Interoperability endpoints

  • Direct secure messaging: abell66277@direct.acumenmd.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1205536752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BELLINGTON DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538676",
            "telephone_number": "404-883-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 NORTHSIDE PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272886",
            "telephone_number": "770-938-1757",
            "fax_number": "770-938-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "256826",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.