Individual provider Active NPI

Emily Faye Breault, FNP-C

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1316757388
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN311460 Issued in GA
Practice address
5610 Bethelview Rd Ste 500a
Cumming, GA 30040-7530
Phone
(678) 821-5376
NPI assigned
Jan 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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 RN311460 GA Primary

Addresses

Primary practice location

5610 Bethelview Rd Ste 500a
Cumming, GA 30040-7530

Mailing address

5610 Bethelview Rd Ste 500a
Cumming, GA 30040-7530
Phone (678) 821-5376

Other names 1

  • Emily Faye Hendricks Former name

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
I20250213003925 GA Practitioner - Nurse Practitioner 2769912120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercer University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chronic Disease Management of Georgia LLCGroup PAC ID 7618306721, 76 clinicians

Practice addresses (Care Compare)

704 Breedlove Dr
Suite a
Monroe, GA 30655-2054
Phone (888) 772-0076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince May 7, 2026 Accepting new patients
Chronic Disease Management of Georgia, LLC CurrentSince Jul 1, 2025 Accepting new patients
Northside Urgent Care Holding, LLC PastSince May 11, 2015 Accepting new patients
Advanced Urgent Care LLC PastSince Sep 4, 2021 Accepting new patients

Locations

1120 Sanctuary Pkwy
Ste 250A
Alpharetta, GA 30009
Phone (470) 865-7122

704 Breedlove Dr
Monroe, GA 30655
Phone (470) 816-1600

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1316757388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 BETHELVIEW RD STE 500A",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407530",
            "telephone_number": "678-821-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 BETHELVIEW RD STE 500A",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407530",
            "telephone_number": "678-821-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAULT",
        "first_name": "EMILY",
        "middle_name": "FAYE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN311460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HENDRICKS",
            "middle_name": "FAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.