Individual provider Active NPI

Juliana Soares Cavalcante Iizuka, NP

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1467206730
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN285285 Issued in GA
Practice address
3280 Howell Mill Rd NW Ste 304
Atlanta, GA 30327-4109
Phone
(404) 388-6219
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN285285 GA Primary

Addresses

Primary practice location

3280 Howell Mill Rd NW Ste 304
Atlanta, GA 30327-4109

Mailing address

5200 Cresslyn RDG
Alpharetta, GA 30005-2600
Phone (470) 494-4648

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220003913 GA Practitioner - Nurse Practitioner 0648707117 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pruitthealth Physicians Services LLCGroup PAC ID 8123327061, 17 clinicians

Practice addresses (Care Compare)

3535 Ashton Woods Dr NE
Brookhaven, GA 30319-2201
Phone (770) 451-0236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN285285GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Biologics LLC CurrentSince Nov 15, 2024 Accepting new patients
Pruitthealth Physicians Services, LLC Nurse Practitioner CurrentSince Jul 14, 2025 Accepting new patients
Complexcare Medical Group Southeast H PLLC CurrentSince Jun 7, 2025 Accepting new patients
Regional Healthcare Group LLC CurrentSince Nov 15, 2024 Accepting new patients
Mobile Wound Care Solutions LLC CurrentSince Feb 23, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Complexcare Medical Group Midwest M PLLC Nurse Practitioner Past Accepting new patients

Locations

3535 Ashton Woods Dr NE
Brookhaven, GA 30319
Phone (770) 451-0236

4000 Village View Dr
Gainesville, GA 30506
Phone (678) 450-3000

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

4608 Lawrenceville Hwy
Tucker, GA 30084
Phone (770) 491-9444

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

41800 W 11 Mile Rd
Novi, MI 48375
Phone (248) 282-5044

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Interoperability endpoints

  • Direct secure messaging: juliana.izuka.1@23427.direct.athenahealth.com

Organizations & group practices 7

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1467206730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CRESSLYN RDG",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052600",
            "telephone_number": "470-494-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 304",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274109",
            "telephone_number": "404-388-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES CAVALCANTE IIZUKA",
        "first_name": "JULIANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN285285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.