Anke Mbapeh

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN212285 Issued in GA

Practice address

2100 Browning Bend CT
Dacula, GA 30019

Phone

(678) 992-6132

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Grady Memorial Hospital Corporation

  dba Grady Health System

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1114243813
  Medicare reassignment NPD
• True North Health Navigation LLC

  dba DispatchHealth

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1578047536
  Medicare reassignment NPD
• Dacula Health and Wellness,LLC

  • Primary Care Clinic/Center
  • Dacula, GA
  • NPI 1861031809
  NPD Authorized official
• Divine Mercy Medical Group LLC

  • Family Medicine Physician
  • Lawrenceville, GA
  • NPI 1881419406
  NPD
• Grady Memorial Hospital Corporation

  dba Grady Inpatient Rehabilitation Unit

  • Rehabilitation Hospital
  • Atlanta, GA
  • NPI 1336961119
  NPD
• TLC of Georgia LLC

  dba The Little Clinic

  • Family Nurse Practitioner
  • Jefferson, GA
  • NPI 1750677241
  NPD
• True North Health Navigation LLC

  dba Dispatch Health

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  NPD

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1386135663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BROWNING BEND CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197758",
            "telephone_number": "678-992-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BROWNING BEND CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019",
            "telephone_number": "678-992-6132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5885 Glenridge Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285572",
            "country_code": "US",
            "telephone_number": "678-321-8546",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBAPEH",
        "first_name": "ANKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN212285",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN212285",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN212285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena Suzanne Massengale, PHARMD, RPH
• Shawn Mathew, DMD
• Aliya Matthews, DPM
• Gina M Maxey, M.D.
• Amie Patricia May, NP
• James Joseph MC Farland, M.S., M.D.
• Ebonie McAfee, LPC
• Anna McCaskill, LDO
• Rachel McClain, PHARMD, RPH
• Tiffany McClendon, LCSW

• Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.