Individual provider Active NPI

Andrea Pindling, NP

  • Nurse Practitioner
  • Stone Mountain, GA
National Provider Identifier
1477841336
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
144793 Issued in GA
Practice address
6254 Memorial Dr Ste F
Stone Mountain, GA 30083-2884
Phone
(770) 588-1029
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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 144793 GA Primary

Addresses

Primary practice location

6254 Memorial Dr Ste F
Stone Mountain, GA 30083-2884

Mailing address

1376 Greenridge Ave
Lithonia, GA 30058-2210
Phone (678) 488-3902

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221005002290 GA Practitioner - General Practice 5193997161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Emory University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6254 Memorial Dr
Suite G
Stone Mountain, GA 30083-2884
Phone (770) 462-9531

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN144793GAMDIn Home Supportive Care Agency
144793GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitainfuse Therapy LLC CurrentSince Jul 6, 2022 Accepting new patients
Contee Emergency Physicians Nurse Practitioner Past Accepting new patients
Mount Lassen Emergency Physicians LLC Past Accepting new patients
Lavender Inpatient Services LLC Past Accepting new patients

Locations

6254 Memorial Dr
Ste G
Stone Mtn, GA 30083
Phone (678) 580-5944

6254 Memorial Dr
Ste F
Stone Mtn, GA 30083
Phone (770) 469-1600

4680 Polaris Ave
Ste 200
Las Vegas, NV 89103
Phone (702) 909-5900

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1477841336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 GREENRIDGE AVE",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582210",
            "telephone_number": "678-488-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6254 MEMORIAL DR STE F",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832884",
            "telephone_number": "770-588-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINDLING",
        "first_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "144793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.