Active NPI
John Ventimiglia, N.P.
- Family Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1457589848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN192494
- Practice address
- 6 Highland Park LN NE
Atlanta, GA 30306-3447 - Phone
- (404) 981-5565
- Fax
- (678) 809-3274
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | RN192494 | GA | Primary |
Addresses
Primary practice location
6 Highland Park LN NE
Atlanta, GA 30306-3447
Mailing address
6 Highland Park LN NE
Atlanta, GA 30306-3447
Phone (404) 981-5565
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN192494 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Impact Health Centers, Inc. | Past | Accepting new patients | |
| Edgewood Medical Center Inc | Past | Accepting new patients | |
| Positive Impact Health Centers Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Atlanta, GA
- NPI 1801199914
-
- Primary Care Clinic/Center
- Duluth, GA
- NPI 1790861995
-
- Community/Retail Pharmacy
- Decatur, GA
- NPI 1912476466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1457589848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HIGHLAND PARK LN NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303063447",
"telephone_number": "404-981-5565",
"fax_number": "678-809-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 HIGHLAND PARK LN NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303063447",
"telephone_number": "404-981-5565",
"fax_number": "678-809-3274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTIMIGLIA",
"first_name": "JOHN",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN192494",
"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 Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.