Marguerite Marie Vardman, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Marietta, GA
NPI 1528098639 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1528098639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 076035 (GA)
- Practice address
- 625 S Marietta Pkwy SE
Marietta, GA 30060-2748 - Phone
- (470) 377-7228
- Fax
- (470) 467-7583
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070206000021 | GA | Practitioner - Nurse Practitioner | 0042212904 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4379 | SC | MD | Physician Assistant |
| NPF 14568 | CA | MD | Adult Health Nurse Practitioner |
| 076035 | GA | MD | Adult Health Nurse Practitioner |
| 132550 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Health Navigation LLC | Current |
Accepting new patients | |
| Cogent Healthcare of Georgia PC | Current |
Accepting new patients | |
| True North Health Navigation LLC | Current |
Accepting new patients | |
| Acute Care Consultants, Inc | Past | Accepting new patients |
Locations
1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
5885 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (678) 321-8546
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NPF 14568 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 132550 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | 076035 | GA | Yes |
Addresses
Primary practice location
625 S Marietta Pkwy SE
Marietta, GA 30060-2748
Mailing address
PO Box 740015
Atlanta, GA 30374-0015
Phone (312) 733-9730
Other practice location 1
2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 320-2773
Other names
- Marguerite Marie Terlemezian
Other providers in Marietta, GA
- Imani D. Vannoy
- Alyssa Vanryne
- Kaitlyn Beth Vanstrien
- Helen Barnes Vantine
- Tara Vanvranken
- Avantika Varma
- Heaven Renee Varner
- Holly Varona
- Vascular Surgical Associates, PC
- Tanya Vasquez
All providers in Marietta, GA · Adult Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.