Individual provider Active NPI

Catherine Grace Houk, FNP-C

  • Family Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1225556269
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN177073 Issued in GA
Practice address
4441 Atlanta Rd SE Ste 107
Smyrna, GA 30080-6431
Phone
(470) 956-0330
Fax
(678) 842-5525
NPI assigned
Aug 30, 2017
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN177073 GA Primary

Addresses

Primary practice location

4441 Atlanta Rd SE Ste 107
Smyrna, GA 30080-6431

Mailing address

PO Box 769609
Roswell, GA 30076-8224
Phone (404) 634-1556

Other practice location 1

1861 Peeler Rd
Dunwoody, GA 30338-5967
Phone (770) 730-5800

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
I20180824000821 GA Practitioner - Nurse Practitioner 3173872165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twelvestone Infusion Centers LLCGroup PAC ID 6800151424, 64 clinicians

Practice addresses (Care Compare)

125 Oakside CT
Suite 201
Canton, GA 30114-2498
Phone (844) 893-0012

3200 Highlands Pkwy SE
Suite 410
Smyrna, GA 30082-5136
Phone (844) 893-0012

900 Westpark Dr
Suite 110
Peachtree City, GA 30269-3545
Phone (844) 893-0012

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN177073GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince May 11, 2018 Accepting new patients
Twelvestone Infusion Centers LLC CurrentSince Mar 12, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 11, 2018 Accepting new patients
Georgia Clinic, PC Past Accepting new patients

Locations

125 Oakside Ct
Ste 201
Canton, GA 30114

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

900 Westpark Dr
Ste 110
Peachtree City, GA 30269

4441 Atlanta Rd SE
Ste 107
Smyrna, GA 30080
Phone (470) 956-0330

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1225556269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769609",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768224",
            "telephone_number": "404-634-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 ATLANTA RD SE STE 107",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806431",
            "telephone_number": "470-956-0330",
            "fax_number": "678-842-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1861 Peeler Rd",
            "address_purpose": "LOCATION",
            "city": "Dunwoody",
            "state": "GA",
            "postal_code": "303385967",
            "country_code": "US",
            "telephone_number": "770-730-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUK",
        "first_name": "CATHERINE",
        "middle_name": "GRACE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN177073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.