Individual provider Active NPI

Ana Maria Isaacs, FNP

  • Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1417688102
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN297606 Issued in GA
Practice address
2665 N Decatur Rd
Decatur, GA 30033-6149
Phone
(404) 299-2223
Fax
(404) 297-5003
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN297606 GA Primary

Addresses

Primary practice location

2665 N Decatur Rd
Decatur, GA 30033-6149

Mailing address

2665 N Decatur Rd Ste 520
Decatur, GA 30033-6146
Phone (443) 838-7096

Other practice location 1

1501 Milstead Rd NE Ste 100
Conyers, GA 30012-3849
Phone (770) 388-0118

Other names 1

  • Ana Maria Lopez Cano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN297606GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Endocrinology Associates, P.C. PastSince Jun 26, 2022 Accepting new patients
Diabetes and Endocrinology Associates East PastSince Jun 26, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: isaacs@diabetesendo.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.525008

Organizations & group practices 2

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1417688102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD STE 520",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336146",
            "telephone_number": "443-838-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336149",
            "telephone_number": "404-299-2223",
            "fax_number": "404-297-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Milstead Rd NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123849",
            "country_code": "US",
            "telephone_number": "770-388-0118",
            "fax_number": "770-388-9441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN297606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "LOPEZ CANO",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.