Quintina L Macauley, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN109088 Issued in GA

Practice address

1978 Scarbrough Dr
Stone Mountain, GA 30088

Phone

(404) 796-6511

Fax

(678) 550-9140

NPI assigned

Aug 5, 2010

Last updated

May 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Vine Health ServicesGroup PAC ID 6507032893, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Comprehensive Vine Health Services

  • Community/Behavioral Health Agency
  • Stone Mountain, GA
  • NPI 1972872661
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1326352972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 SCARBROUGH DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300884422",
            "telephone_number": "404-796-6511",
            "fax_number": "678-550-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 SCARBROUGH DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "30088",
            "telephone_number": "404-796-6511",
            "fax_number": "678-550-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAULEY",
        "first_name": "QUINTINA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN109088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc (Lenscrafters #00754)
• Lyles and Lyles, LLC
• Lynka Family Care Companion LLC
• Trecia Lyon
• Mablehouse Hospice
• Traci Mackey
• Sonya Magar
• Magnolia Gardens PCH, Inc
• Jennifer Mai, OD
• Rodney Mallory

• Family Nurse Practitioner in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.