Active NPI
Medjina Raymond, NP
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1316209604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN267526
- Practice address
- 275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740 - Phone
- (404) 350-0009
- NPI assigned
- Jun 12, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 630292 | NY | |
| Nurse Practitioner | 363L00000X | RN267526 | GA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | RN267526 | GA | |
| Acute Care Nurse Practitioner | 363LA2100X | RN267526 | GA |
Addresses
Primary practice location
275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740
Mailing address
227 Aspen Valley LN
Dallas, GA 30157-1462
Phone (678) 468-9601
Other practice location 1
227 Aspen Valley Ln
Dallas, GA 30157-1462
Phone (678) 468-9601
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
313 Somersby Dr
Dallas, GA 30157-8076
PO Box
Atlanta, GA 30368
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630292 | NY | MD | Registered Nurse |
| RN267526 | GA | MD | Gerontology Nurse Practitioner |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEBAED/Endpoint/GEBAED
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1316209604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 ASPEN VALLEY LN",
"city": "DALLAS",
"state": "GA",
"postal_code": "301571462",
"telephone_number": "678-468-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091740",
"telephone_number": "404-350-0009"
}
],
"practiceLocations": [
{
"address_1": "227 Aspen Valley Ln",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "GA",
"postal_code": "301571462",
"country_code": "US",
"telephone_number": "678-468-9601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAYMOND",
"first_name": "MEDJINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "630292",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN267526",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN267526",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN267526",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.