Individual provider Active NPI

Emily Alexandra Dennis, CNP

  • Nurse Practitioner
  • Buford, GA
National Provider Identifier
1497440093
Registry record updated Dec 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP711400 Issued in GA
Practice address
2800 Buford Dr Ste 300
Buford, GA 30519-5107
Phone
(770) 417-7336
Fax
(678) 430-3714
NPI assigned
Apr 10, 2023
Last updated
Dec 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 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 APRN-NP711400 GA Primary

Addresses

Primary practice location

2800 Buford Dr Ste 300
Buford, GA 30519-5107

Mailing address

2800 Buford Dr Ste 300
Buford, GA 30519-5107
Phone (770) 417-7336

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
I20260130002269 GA Practitioner - Nurse Practitioner 2365920311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Oncology Services LLCGroup PAC ID 1850627423, 29 clinicians

Practice addresses (Care Compare)

2800 Buford Dr
Suite 300
Buford, GA 30519-5107
Phone (770) 417-4336

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
APRN-NP711400GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Oncology Services LLC CurrentSince Jan 20, 2026 Accepting new patients
Northside Hospital, Inc. PastSince Jan 4, 2026 Accepting new patients

Locations

2800 Buford Dr
Ste 300
Buford, GA 30519
Phone (404) 417-4336

2098 Teron Trce
Ste 400
Dacula, GA 30019
Phone (678) 312-6800

631 Professional Dr
Ste 450
Lawrenceville, GA 30046
Phone (770) 963-8030

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.

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": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1497440093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BUFORD DR STE 300",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195107",
            "telephone_number": "770-417-7336",
            "fax_number": "678-430-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BUFORD DR STE 300",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195107",
            "telephone_number": "770-417-7336",
            "fax_number": "678-430-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "EMILY",
        "middle_name": "ALEXANDRA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP711400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.