Angela Denise Swain, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

124349 Issued in GA

Practice address

3405 Dallas Hwy SW Ste 300
Marietta, GA 30064-6426

Phone

(770) 425-5331

Fax

(770) 425-0799

NPI assigned

Jan 8, 2007

Last updated

Mar 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EICIBD

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.

• Beaufort Jasper Hampton Comprehensive Health Services, Inc.

  dba BJHCHS, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ridgeland, SC
  • NPI 1649276148
  Medicare reassignment NPD
• Beaufort Jasper Hampton Comprehensive Health Services, Inc

  dba Varnville Medical Center

  • Federally Qualified Health Center (FQHC)
  • Varnville, SC
  • NPI 1073318259
  NPD
• Cobb Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Marietta, GA
  • NPI 1386078152
  NPD (past)
• Beaufort-Jasper-Hampton Comprehensive Health Service Inc

  dba Chelsea Health Center Pharmacy

  • Community/Retail Pharmacy
  • Okatie, SC
  • NPI 1578607248
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1255489985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 DALLAS HWY SW STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646426",
            "telephone_number": "770-425-5331",
            "fax_number": "770-425-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 DALLAS HWY SW STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646426",
            "telephone_number": "770-425-5331",
            "fax_number": "770-425-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "124349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000944853J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000944853F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Everett Sutton, M.D.
• Kristen Wheeles Sutton, PHARMD
• Svathi Reddy MD, L.L.C.
• Sarah Svedin, PA-C
• Brette Cha Svensson, APRN-BC
• Kaitlyn Breese Swain, OT
• Shubha Swamy
• Rebecca Swan, LAPC
• Kaylyn Swartz
• Orrin Swayze Jr., APC

• Pediatric Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.

Verify at the official NPI Registry.