Active NPI
Nicole Garchitorena
- Family Nurse Practitioner
- Woodstock, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- GAA-NP000556
- Practice address
- 1600 Towne Lake Pkwy
Woodstock, GA 30189-1585 - Phone
- (770) 517-1022
- NPI assigned
- Dec 30, 2022
- Last updated
- Sep 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | GAA-NP000556 | GA | Primary |
Addresses
Primary practice location
1600 Towne Lake Pkwy
Woodstock, GA 30189-1585
Mailing address
1600 Towne Lake Pkwy
Woodstock, GA 30189-1585
Phone (770) 517-1022
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Towne Lake Pkwy
Woodstock, GA 30189-1585
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Primary Care PLLC | Family | Current | Accepting new patients |
Locations
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002
1600 Towne Lake Pkwy
Woodstock, GA 30189
Phone (678) 736-9549
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": "1672358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1467165811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 TOWNE LAKE PKWY",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891585",
"telephone_number": "770-517-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 TOWNE LAKE PKWY",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891585",
"telephone_number": "770-517-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCHITORENA",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-30",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP000556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.