Individual provider Active NPI

Thandeka Thelma Ntuli, MSN, APRN, AGNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1386003986
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN174000 Issued in GA
Practice address
595 Hurricane Shoals Road N.W.
Suite 100
Lawrenceville, GA 30046-8762
Phone
(404) 645-7150
Fax
(770) 339-4797
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN174000 GA Primary

Addresses

Primary practice location

595 Hurricane Shoals Road N.W.
Suite 100
Lawrenceville, GA 30046-8762

Mailing address

595 Hurricane Shoals Road N.W.
Suite 100
Lawrenceville, GA 30046-8762
Phone (404) 645-7150

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511002805 GA Practitioner - Nurse Practitioner 4789973942 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Consultants of Georgia, IncGroup PAC ID 2264539618, 13 clinicians

Practice addresses (Care Compare)

1387 US 41
Calhoun, GA 30701-1643
Phone (706) 662-1289

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Feb 9, 2022 Accepting new patients
Inpatient Consultants of Georgia, Inc CurrentSince Apr 16, 2025 Accepting new patients
Vision Medical Consulting, P.C. CurrentSince Dec 21, 2016 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Apr 16, 2025 Accepting new patients

Locations

54 Peachtree Park Dr NE
Atlanta, GA 30309
Phone (404) 351-6041

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

1387 US 41 N
Calhoun, GA 30701
Phone (706) 629-1289

22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800

2403 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (423) 979-5805

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

1109 Green St
Roswell, GA 30075
Phone (770) 998-1802

250 Skillman St
Ste 202
Brooklyn, NY 11205

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1386003986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 HURRICANE SHOALS ROAD N.W.",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468762",
            "telephone_number": "404-645-7150",
            "fax_number": "770-339-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 HURRICANE SHOALS ROAD N.W.",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468762",
            "telephone_number": "404-645-7150",
            "fax_number": "770-339-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTULI",
        "first_name": "THANDEKA",
        "middle_name": "THELMA",
        "credential": "MSN, APRN, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN174000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.