Individual provider Active NPI

Anita Virani, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1477924116
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216529 Issued in GA
Practice address
3365 Piedmont Rd NE
Suite 1250
Atlanta, GA 30305-1794
Phone
(404) 264-9553
Fax
(404) 266-2294
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN216529 GA Primary

Addresses

Primary practice location

3365 Piedmont Rd NE
Suite 1250
Atlanta, GA 30305-1794

Mailing address

3365 Piedmont Rd NE
Suite 1250
Atlanta, GA 30305-1794
Phone (404) 264-9553

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
I20180810001409 GA Practitioner - Nurse Practitioner 7810245602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

980 Johnson Ferry Rd
Suite 490
Atlanta, GA 30342-1607
Phone (770) 422-0444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN216529GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neurosurgery Associates LLC CurrentSince Mar 31, 2023 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Jan 9, 2023 Accepting new patients

Locations

631 Professional Dr
Ste 360
Lawrenceville, GA 30046
Phone (678) 312-3290

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

980 Johnson Fy Rd NE
Ste 490
Sandy Springs, GA 30342
Phone (404) 257-0133

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1477924116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 PIEDMONT RD NE",
            "address_2": "SUITE 1250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051794",
            "telephone_number": "404-264-9553",
            "fax_number": "404-266-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 PIEDMONT RD NE",
            "address_2": "SUITE 1250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051794",
            "telephone_number": "404-264-9553",
            "fax_number": "404-266-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRANI",
        "first_name": "ANITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.