Individual provider Active NPI

Rosalyn Chanell Primus, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1356912695
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN264960 Issued in GA
Practice address
1123 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1729
Phone
(404) 346-3487
Fax
(404) 963-1040
NPI assigned
Jul 7, 2021
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 RN264960 GA Primary

Addresses

Primary practice location

1123 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1729

Mailing address

1123 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1729
Phone (404) 346-3487

Other practice location 1

5243 Snapfinger Woods Dr Ste 103
Decatur, GA 30035-4000
Phone (770) 981-3511

Other practice location 2

2457 Mlk Jr Dr SW
Atlanta, GA 30311-1712
Phone (678) 515-8154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN264960GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William C. McGarity, Jr., MD, PC PastSince Oct 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rosalyn.primus.1@11076.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1356912695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 RALPH DAVID ABERNATHY BLVD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101729",
            "telephone_number": "404-346-3487",
            "fax_number": "404-393-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 RALPH DAVID ABERNATHY BLVD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101729",
            "telephone_number": "404-346-3487",
            "fax_number": "404-963-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5243 Snapfinger Woods Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300354000",
            "country_code": "US",
            "telephone_number": "770-981-3511",
            "fax_number": "770-981-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2457 Mlk Jr Dr SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303111712",
            "country_code": "US",
            "telephone_number": "678-515-8154",
            "fax_number": "678-705-4225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIMUS",
        "first_name": "ROSALYN",
        "middle_name": "CHANELL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN264960",
            "primary": true
        }
    ],
    "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 Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.