Active NPI
Angella I Francis, RN
- Home Health Registered Nurse
- Fayetteville, GA
National Provider Identifier
1427362102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN179142
- Practice address
- 115 Northern Oaks Dr
Fayetteville, GA 30214-7819 - Phone
- (678) 902-0200
- Fax
- (678) 902-0201
- NPI assigned
- Aug 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN179142 | GA | |
| Case Management Registered Nurse | 163WC0400X | RN179142 | GA | |
| Home Health Registered Nurse | 163WH0200X | RN179142 | GA | Primary |
| Infusion Therapy Registered Nurse | 163WI0500X | RN179142 | GA | |
| Wound Care Registered Nurse | 163WW0000X | RN179142 | GA |
Addresses
Primary practice location
115 Northern Oaks Dr
Fayetteville, GA 30214-7819
Mailing address
1415 Highway 85 N Ste 310-231
Fayetteville, GA 30214-7738
Phone (678) 902-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688779570A | Medicaid | GA |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN179142 | GA | MD | Infusion Therapy Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1427362102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 HIGHWAY 85 N STE 310-231",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147738",
"telephone_number": "678-902-0200",
"fax_number": "678-902-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NORTHERN OAKS DR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147819",
"telephone_number": "678-902-0200",
"fax_number": "678-902-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCIS",
"first_name": "ANGELLA",
"middle_name": "I",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN179142",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "GA",
"license": "RN179142",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "RN179142",
"primary": true
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "GA",
"license": "RN179142",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "GA",
"license": "RN179142",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "688779570A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.