Active NPI
Rosalyn Chanell Primus, FNP-C
- Family Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1356912695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN264960
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN264960 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William C. McGarity, Jr., MD, PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Specialist
- Decatur, GA
- NPI 1457551004
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.