Organization Active NPI

Eilato Care Consulting LLC

  • Family Nurse Practitioner
  • Peachtree Corners, GA
National Provider Identifier
1497419014
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EILATO CARE CONSULTING LLC
Practice address
5960 Crooked Creek Rd
Peachtree Corners, GA 30092-6219
Phone
(678) 909-7531
Fax
(470) 766-1655
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Felecia R Paul-Grey, FNP
Title
Owner / Provider
Phone
(678) 909-7531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

5960 Crooked Creek Rd
Peachtree Corners, GA 30092-6219

Mailing address

3330 Bartlett Ave
Conyers, GA 30013-7503
Phone (678) 909-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211201003083 GA Part B Supplier - Clinic/Group Practice 5496145674 Receives reassigned benefits from 1 practitioner
Practice locations: Peachtree Corners, GA

National Provider Directory

National Provider Directory

Locations

5960 Crooked Creek Rd
Ste 140B
Peachtree Corners, GA 30092
Phone (470) 738-1424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1497419014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 BARTLETT AVE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300137503",
            "telephone_number": "678-909-7531",
            "fax_number": "470-766-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 CROOKED CREEK RD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300926219",
            "telephone_number": "678-909-7531",
            "fax_number": "470-766-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILATO CARE CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "PAUL-GREY",
        "authorized_official_first_name": "FELECIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "678-909-7531",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.