Cheyenne Cassidy Demott

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN310431 Issued in GA

Practice address

5885 Glenridge Dr Ste 250
Sandy Springs, GA 30328-6172

Phone

(404) 308-4571

NPI assigned

Apr 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

State licenses

Interoperability endpoints

• Direct secure messaging: cheyenne.demott@smo-ga.direct.office.nextgen.com

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.

• Kirk Alan Paulk, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1639191828
  Medicare reassignment

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1386224640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 GLENRIDGE DR STE 250",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303286172",
            "telephone_number": "404-308-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 GLENRIDGE DR STE 250",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303286172",
            "telephone_number": "404-308-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOTT",
        "first_name": "CHEYENNE",
        "middle_name": "CASSIDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN310431",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN310431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L. Dees, PHD
• Christina Lynn Dehnke, PT
• Catherine Leigh Dekle, M.D.
• Elana Bier Delbeau, PT
• Laura Michelle Dembowski
• Thomas Dempsey, D.V.M., M.A.M.
• Janay Dennie
• Alisa Dennis, PH.D.
• Stephanie Dent, RD, LD
• Dentistry at Sandy Springs PC

• Family Nurse Practitioner in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.