Individual provider Active NPI

Marvet Wint, DNP

  • Nurse Practitioner
  • Locust Grove, GA
National Provider Identifier
1386036895
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F03170428 Issued in GA
Practice address
114 Arabella Pkwy
Locust Grove, GA 30248-4246
Phone
(770) 256-3843
Fax
(770) 946-8871
NPI assigned
Feb 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X PCH008421 GA
Nurse Practitioner 363L00000X F03170428 GA Primary

Addresses

Primary practice location

114 Arabella Pkwy
Locust Grove, GA 30248-4246

Mailing address

114 Arabella Pkwy
Locust Grove, GA 30248-4246
Phone (770) 256-3843

Other identifiers 1

IdentifierTypeStateIssuer
GAP235113OtherGAGBI ORI

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
I20190613002902 GA Practitioner - Nurse Practitioner 1254664865 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

114 Arabella Pkwy
Locust Grove, GA 30248-4246
Phone (770) 256-3843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PCH008421GAMDAdult Care Home Facility
F03170428GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hardy Renew Wellness,LLC CurrentSince Aug 18, 2022 Accepting new patients
Peachtree Hospice of Georgia, LLC CurrentSince Oct 1, 2020 Accepting new patients
Medical Director Services PC CurrentSince Nov 12, 2021 Accepting new patients
National Healthcare Unlimited CurrentSince Sep 8, 2024 Accepting new patients

Locations

135 Gemini Cir
Ste 202
Birmingham, AL 35209
Phone (205) 949-0400

2850 Springdale Rd SW
Atlanta, GA 30315
Phone (404) 616-8100

1233 Eagles Landing Pkwy
Ste Ab
Stockbridge, GA 30281
Phone (404) 480-3842

Interoperability endpoints

  • Direct secure messaging: marvet.wint.p1@direct.alegiscare.nextgenshare.com

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": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1386036895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ARABELLA PKWY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302484246",
            "telephone_number": "770-256-3843",
            "fax_number": "770-946-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ARABELLA PKWY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302484246",
            "telephone_number": "770-256-3843",
            "fax_number": "770-946-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINT",
        "first_name": "MARVET",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-21",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "PCH008421",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "F03170428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GBI ORI",
            "identifier": "GAP235113",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

Verify at the official NPI Registry.