Active NPI
Magaly Colon, AGACNP-BC
- Acute Care Nurse Practitioner
- Stockbridge, GA
National Provider Identifier
1235615238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2017006714
- Practice address
- 231 Benton FLDS
Stockbridge, GA 30281-5851 - Phone
- (678) 602-8078
- NPI assigned
- Jul 13, 2018
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2017006714 | GA | Primary |
Addresses
Primary practice location
231 Benton FLDS
Stockbridge, GA 30281-5851
Mailing address
235 Medical Blvd
Stockbridge, GA 30281-7218
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
235 Medical Blvd
Stockbridge, GA 30281-7218
Phone (770) 960-8855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017006714 | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Primary and Urgent Care LLC | Current | Accepting new patients | |
| Qcpi-Villagemd, PC | Current | Accepting new patients | |
| Advanced Internal Medicine | Past | Accepting new patients |
Locations
6131 S Norcross Tucker Rd
Ste 6
Norcross, GA 30093
Phone (678) 205-1959
235 Medical Blvd
Stockbridge, GA 30281
Phone (678) 902-0538
1805 Parke Plaza Cir
Ste 101
Stone Mtn, GA 30087
Phone (770) 469-7000
Interoperability endpoints
- magaly.colon.1@21533.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1558872432
-
- Family Medicine Physician
- Norcross, GA
- NPI 1770097719
-
- Primary Care Clinic/Center
- Stockbridge, GA
- NPI 1669658829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1235615238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 MEDICAL BLVD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 BENTON FLDS",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815851",
"telephone_number": "678-602-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "MAGALY",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "2017006714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.