Active NPI
Nicole Camille Ash-Mapp, MD
- Family Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42993
- Practice address
- 1046 Ridge Ave SW
Atlanta, GA 30315-1640 - Phone
- (404) 688-1350
- Fax
- (404) 688-4262
- NPI assigned
- Feb 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 042993 | GA | |
| Family Medicine Physician | 207Q00000X | 42993 | GA | Primary |
Addresses
Primary practice location
1046 Ridge Ave SW
Atlanta, GA 30315-1640
Mailing address
720 Westview Drive SW
Harris BLDG., 100-a
Atlanta, GA 30310
Phone (404) 756-1400
Other practice location 1
1595 Cleveland Ave
East Point, GA 30344-3200
Phone (404) 616-2886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00811995 | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130626000927 | GA | Practitioner - Family Practice | 0840439691 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Morehouse School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morehouse Healthcare, Inc.
Practice addresses (Care Compare)
1595 W Cleveland Ave
East Point, GA 30344-3200
Phone (404) 305-8086
Hospital & facility affiliations
- Grady Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42993 | GA | MD | Family Medicine Physician |
| 042993 | GA | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Healthcare, Inc. | Current | Accepting new patients | |
| Southside Medical Center, Inc | Current | Accepting new patients | |
| Southside Medical Center, Inc. | Current | Accepting new patients |
Locations
75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410
1046 Ridge Ave SW
Atlanta, GA 30315
Phone (404) 564-6942
720 Westview Dr SW
Bldg 100A
Atlanta, GA 30310
1039 Ridge Ave SW
Atlanta, GA 30315
Phone (407) 761-8640
720 Westview Dr SW
Ste 100A
Atlanta, GA 30310
1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1235123993
GA
-
- Federally Qualified Health Center (FQHC)
- Jonesboro, GA
- NPI 1821981234
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": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1497726822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WESTVIEW DRIVE SW",
"address_2": "HARRIS BLDG., 100-A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30310",
"telephone_number": "404-756-1400",
"fax_number": "404-752-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 RIDGE AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303151640",
"telephone_number": "404-688-1350",
"fax_number": "404-688-4262"
}
],
"practiceLocations": [
{
"address_1": "1595 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "East Point",
"state": "GA",
"postal_code": "303443200",
"country_code": "US",
"telephone_number": "404-616-2886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASH-MAPP",
"first_name": "NICOLE",
"middle_name": "CAMILLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "GA",
"license": "042993",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "42993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00811995",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.