Individual provider Active NPI

Wendell F Price Jr., NPC

  • Family Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1285728741
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN071462 Issued in GA
Practice address
3720 Davinci CT
Ste 400
Norcross, GA 30092-7627
Phone
(404) 388-4903
NPI assigned
Oct 2, 2006
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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 RN071462 GA Primary

Addresses

Primary practice location

3720 Davinci CT
Ste 400
Norcross, GA 30092-7627

Mailing address

209 Elvan Ave NE
Atlanta, GA 30317-1354
Phone (404) 388-4903

Other names 1

  • Del F Price Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71462GAMDFamily Medicine Physician
RN071462GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1285728741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ELVAN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171354",
            "telephone_number": "404-388-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 DAVINCI CT",
            "address_2": "STE 400",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300927627",
            "telephone_number": "404-388-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "WENDELL",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN071462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEL",
            "last_name": "PRICE",
            "middle_name": "F",
            "suffix": "JR.",
            "credential": "NPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.