Active NPI
Ashley Lynn Phelps, ARNP
- Family Nurse Practitioner
- Roswell, GA
National Provider Identifier
1376053314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 268906
- Practice address
- 601 Bombay LN
Roswell, GA 30076-5828 - Phone
- (706) 754-4674
- NPI assigned
- Oct 4, 2017
- Last updated
- Nov 30, 2018
- 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 | 268906 | GA | Primary |
Addresses
Primary practice location
601 Bombay LN
Roswell, GA 30076-5828
Mailing address
1507 Clubhouse CT
McDonough, GA 30252-1638
Phone (859) 433-5431
Other practice location 1
57 Executive Park S Ste 100
Atlanta, GA 30329-2248
Phone (404) 778-7645
Other practice location 2
6381 Zebulon Rd
Macon, GA 31220-2601
Phone (478) 476-1911
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268906 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perimeter Medical Wellness | Past | Accepting new patients | |
| Renaissance Recovery Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba North Fulton Treatment Center
- Methadone Clinic
- Roswell, GA
- NPI 1881906386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1376053314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 CLUBHOUSE CT",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302521638",
"telephone_number": "859-433-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BOMBAY LN",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765828",
"telephone_number": "706-754-4674"
}
],
"practiceLocations": [
{
"address_1": "57 Executive Park S Ste 100",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303292248",
"country_code": "US",
"telephone_number": "404-778-7645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6381 Zebulon Rd",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312202601",
"country_code": "US",
"telephone_number": "478-476-1911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHELPS",
"first_name": "ASHLEY",
"middle_name": "LYNN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "268906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.