Adeliene G Isaac David

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

IN PROGRESS Issued in GA

Practice address

5329 Memorial Dr
Suite a
Stone Mountain, GA 30083-3212

Phone

(770) 359-9592

Fax

(404) 296-7696

NPI assigned

Jan 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, AL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment NPD
• Vistas Medical Center,PC

  • Medical Specialty Clinic/Center
  • NPI 1104064815
  NPD (past)

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1457682809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5329 MEMORIAL DR",
            "address_2": "SUITE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833212",
            "telephone_number": "770-359-9592",
            "fax_number": "404-296-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 MEMORIAL DR",
            "address_2": "SUITE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833212",
            "telephone_number": "770-359-9592",
            "fax_number": "404-296-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC DAVID",
        "first_name": "ADELIENE",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "IN PROGRESS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instep Podiatry, LLC
• Integrated Life Center, Inc.
• Intown Midwifery, LLC
• Peter Claver Inyang, DNP, NP-C
• Robert William Irwin
• Ondrey Tobias Isaac
• Ilham Ismail
• Queen Blessing Itua, DMD/ND
• Marvis M. Ivey, RN
• Nneka Anuli Izundu, PHARM MD

• Adult Health Nurse Practitioner in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.

Verify at the official NPI Registry.