Active NPI
Michela Nelson, FNP-BC
- Family Nurse Practitioner
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN258829
- Practice address
- 6031 Fairburn Rd
Douglasville, GA 30134-2307 - Phone
- (770) 942-9214
- NPI assigned
- Aug 16, 2023
- Last updated
- Aug 16, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN258829 | GA | Primary |
Addresses
Primary practice location
6031 Fairburn Rd
Douglasville, GA 30134-2307
Mailing address
6031 Fairburn Rd
Douglasville, GA 30134-2307
Phone (770) 942-9214
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1505 Professional CT
Dalton, GA 30720-2500
Phone (706) 259-6882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Family Medicine,LLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Village Podiatry Group II, LLC. | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Village Podiatry Group II, LLC. | Current | Accepting new patients | |
| Temple Medical LLC | Past | Accepting new patients |
Locations
2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770
7869 Villa Rica Hwy
Dallas, GA 30157
Phone (770) 456-3333
1505 Professional Ct
Dalton, GA 30720
Phone (706) 259-6882
431 Sage St
Temple, GA 30179
Phone (770) 562-9007
Interoperability endpoints
- https://api.platform.athenahealth.com/1369/brand/1/csg/1/fhir/r4
- michela.nelson.1@1369.direct.athenahealth.com
Organizations & group practices 8
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.
-
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- Atlanta, GA
- NPI 1427540699
-
- Family Medicine Physician
- Dallas, GA
- NPI 1053509216
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1356124077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6031 FAIRBURN RD",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342307",
"telephone_number": "770-942-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6031 FAIRBURN RD",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342307",
"telephone_number": "770-942-9214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MICHELA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN258829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.