Individual provider Active NPI

Avery Seelhammer, FNP

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1235837253
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN286404 Issued in GA
Practice address
327 Dahlonega St Ste B103
Cumming, GA 30040-2482
Phone
(706) 303-0034
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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 RN286404 GA Primary

Addresses

Primary practice location

327 Dahlonega St Ste B103
Cumming, GA 30040-2482

Mailing address

327 Dahlonega St Ste B103
Cumming, GA 30040-2482
Phone (762) 303-0034

Other identifiers 1

IdentifierTypeStateIssuer
057776876OtherGAGEORGIA DRIVER'S LICENSE

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
I20230516001847 GA Practitioner - Nurse Practitioner 6103282223 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians
Northside Primary Care Professional Services,LLCGroup PAC ID 9638343924, 313 clinicians

Practice addresses (Care Compare)

125 Benjamin H Hill Dr SW
Fitzgerald, GA 31750-8606
Phone (205) 545-5088

400 Walmart Way
Suite F
Dahlonega, GA 30533-0829
Phone (706) 867-7666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accordia Healthcare LLC CurrentSince Apr 11, 2023 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Jan 9, 2026 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 14, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 14, 2025 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Jan 9, 2026 Accepting new patients
Family Care Clayton, LLC Current Accepting new patients
Family Care Dahlonega LLC CurrentSince Jan 30, 2024 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

7768 Cumming Hwy
Ste 300
Canton, GA 30115
Phone (678) 946-2050

5330 Highway 115
Clarkesville, GA 30523
Phone (706) 754-5991

3615 Browns Bridge Rd
#A
Cumming, GA 30028
Phone (678) 456-4273

400 Walmart Way
Ste F
Dahlonega, GA 30533
Phone (706) 867-7666

125 Benjamin H Hill Dr SW
Fitzgerald, GA 31750
Phone (229) 635-4004

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

3193 E 1st St
Vidalia, GA 30474
Phone (912) 537-8588

1205 Russell Pkwy
Warner Robins, GA 31088
Phone (478) 302-5729

Organizations & group practices 7

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1235837253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 DAHLONEGA ST STE B103",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402482",
            "telephone_number": "762-303-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 DAHLONEGA ST STE B103",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402482",
            "telephone_number": "706-303-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELHAMMER",
        "first_name": "AVERY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-01-08",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN286404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA DRIVER'S LICENSE",
            "identifier": "057776876",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.