Active NPI
Patrick Krueger, FNP (BOARDS PENDING)
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN226020
- Practice address
- 80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031 - Phone
- (404) 616-1000
- NPI assigned
- Dec 16, 2013
- Last updated
- Dec 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN226020 | GA | Primary |
Addresses
Primary practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Mailing address
1440 Rock Springs Cir NE Apt 2-1305
Atlanta, GA 30306-2243
Phone (612) 280-1994
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000
610 Peachtree Pkwy
Suite 100
Cumming, GA 30041-9762
Phone (678) 513-5260
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN226020 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Northside Emergency Associates, LLC | Current | Accepting new patients | |
| Northside Surgical Professional Services LLC | Current | Accepting new patients | |
| Northside Urgent Care Holding, LLC | Current | Accepting new patients | |
| Emory Medical Care Foundation | Current | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
460 Northside Cherokee Blvd
Ste 100
Canton, GA 30115
Phone (770) 292-3490
610 Peachtree Pkwy
Ste 100
Cumming, GA 30041
Phone (678) 513-5260
81 Northside Dawson Dr
Ste 100A
Dawsonville, GA 30534
Phone (706) 216-6000
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Sandy Springs, GA
- NPI 1285686303
-
- Urgent Care Clinic/Center
- Atlanta, GA
- NPI 1679962237
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1982860490
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1437570637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 ROCK SPRINGS CIR NE APT 2-1305",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303062243",
"telephone_number": "612-280-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 JESSE HILL JR DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033031",
"telephone_number": "404-616-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "PATRICK",
"credential": "FNP (BOARDS PENDING)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN226020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.