Active NPI
Anna Weatherby
- Family Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1235696618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN215553
- Practice address
- 57 Executive Park S Ste 100
Atlanta, GA 30329-2248 - Phone
- (404) 778-7645
- NPI assigned
- Feb 21, 2019
- Last updated
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN215553 | GA | Primary |
Addresses
Primary practice location
57 Executive Park S Ste 100
Atlanta, GA 30329-2248
Mailing address
385 Camp Dobbs Rd
Jasper, GA 30143-6979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN215553 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennesaw Wellness | Past | Accepting new patients | |
| Dunwoody Wellness | Past | Accepting new patients | |
| Perimeter Medical Wellness | Past | Accepting new patients | |
| Perimeter Medical Wellness | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba PrimeHealthMD
- Primary Care Clinic/Center
- Alpharetta, GA
- NPI 1306255922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1235696618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 CAMP DOBBS RD",
"city": "JASPER",
"state": "GA",
"postal_code": "301436979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 EXECUTIVE PARK S STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292248",
"telephone_number": "404-778-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERBY",
"first_name": "ANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN215553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- We DO Talk Therapy LLC (Georgia Mental Health & Wellness Group)
- We Have Answers,LLC
- We Up Home Health Services LLC
- We-Care Health Staffing Services
- Cynthia Wea, CAA
- Kayci Weatherford, M.A., APC, NCC
- Shane Allan Weatherford
- Maryanne M Weatherill, M.S., CCC-SLP
- Kelsey Sullivan Weatherly, FNP-C
- Morgan Weatherly
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.