Individual provider Active NPI

Felecia Renee Paul-Gray, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1386243087
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN225314 Issued in GA
Practice address
1301 Hightower TRL Ste 150
Atlanta, GA 30350-2971
Phone
(404) 497-1830
Fax
(404) 497-1828
NPI assigned
Oct 22, 2020
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN225314 GA Primary

Addresses

Primary practice location

1301 Hightower TRL Ste 150
Atlanta, GA 30350-2971

Mailing address

5960 Crooked Creek Rd Ste 140J
Peachtree Corners, GA 30092-6247
Phone (770) 875-1413

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
I20201118000715 GA Practitioner - Nurse Practitioner 9335550672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3300 Bartlett Ave
Conyers, GA 30013-7504

5960 Crooked Creek Rd
Suite 140B
Peachtree Corners, GA 30092-6239
Phone (678) 909-7531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity House of Atlanta Ministries Inc. CurrentSince Aug 5, 2024 Accepting new patients
Gary S Figiel MD PC CurrentSince Oct 20, 2020 Accepting new patients
Eilato Care Consulting LLC Family CurrentSince Sep 1, 2021 Accepting new patients
Tangu, Inc Past Accepting new patients

Locations

5960 Crooked Creek Rd
Ste 140B
Peachtree Corners, GA 30092
Phone (470) 738-1424

5960 Crooked Creek Rd
Ste 140J
Peachtree Corners, GA 30092
Phone (678) 360-0873

1301 Hightower Trl
Ste 150
Sandy Springs, GA 30350
Phone (404) 497-1830

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1386243087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 CROOKED CREEK RD STE 140J",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300926247",
            "telephone_number": "770-875-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HIGHTOWER TRL STE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502971",
            "telephone_number": "404-497-1830",
            "fax_number": "404-497-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL-GRAY",
        "first_name": "FELECIA",
        "middle_name": "RENEE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN225314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.