Individual provider Active NPI

Salima Dewani, FNP

  • Family Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1528520947
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN255807 Issued in GA
Practice address
1250 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3871
Phone
(706) 658-6815
NPI assigned
Apr 3, 2019
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 RN255807 GA Primary

Addresses

Primary practice location

1250 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3871

Mailing address

349 Barley CT
Lilburn, GA 30047-3881

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
I20190529001455 GA Practitioner - Nurse Practitioner 5193068591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Spine and Pain PCGroup PAC ID 9931151032, 8 clinicians

Practice addresses (Care Compare)

1250 Jesse Jewell Pkwy SE
Suite 200
Gainesville, GA 30501-3865
Phone (770) 534-7200

5005 A Lanier Islands Pkwy
Suite 100
Buford, GA 30518-1715
Phone (770) 297-7277

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Spine and Pain PC CurrentSince Nov 14, 2023 Accepting new patients
Specialty Spine and Pain PC CurrentSince Nov 14, 2023 Accepting new patients
Specialty Spine and Pain PC Past Accepting new patients

Locations

5005 Lanier Islands Pkwy
Ste 100
Buford, GA 30518

5005 Lanier Islands Pkwy
Ste 500
Buford, GA 30518

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

1250 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (770) 532-6341

Interoperability endpoints

  • Direct secure messaging: sdewani@nspc.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1528520947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 BARLEY CT",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013871",
            "telephone_number": "706-658-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWANI",
        "first_name": "SALIMA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN255807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.