Individual provider Active NPI

Niambi Vantress

  • Nurse Practitioner
  • Forest Park, GA
National Provider Identifier
1548616667
Registry record updated May 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN184231 Issued in GA
Practice address
5418 Lee Cir
Forest Park, GA 30297-2731
Phone
(404) 216-5223
NPI assigned
May 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW002933 GA
Nurse Practitioner 363L00000X RN184231 GA Primary
Clinical Nurse Specialist 364S00000X RN184231 GA

Addresses

Primary practice location

5418 Lee Cir
Forest Park, GA 30297-2731

Mailing address

5418 Lee Cir
Forest Park, GA 30297-2731
Phone (404) 216-5223

Other names 1

  • Niambi Vantress Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161201001744 GA Practitioner - Nurse Practitioner 2365722733 Reassigns benefits to 1 organization
I20241204003340 CA Practitioner - Nurse Practitioner 2365722733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 Piedmont Ave SE
3Rd Floor
Atlanta, GA 30303-3050
Phone (404) 616-2215

56 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CSW002933GAMDClinical Social Worker
RN184231GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concertocare Medical Group of California, P.C. CurrentSince Dec 9, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 15, 2016 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 15, 2016 Accepting new patients

Locations

7677 Center Ave
Ste 214
Huntington Beach, CA 92647
Phone (310) 433-9507

7677 Center Ave
Huntington Beach, CA 92647
Phone (714) 881-8700

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#88
Atlanta, GA 30303
Phone (404) 616-0879

811 Main St
#7
Kansas City, MO 64105

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.

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": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462579200000",
    "number": "1548616667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 LEE CIR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972731",
            "telephone_number": "404-216-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5418 LEE CIR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972731",
            "telephone_number": "404-216-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTRESS",
        "first_name": "NIAMBI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-07",
        "last_updated": "2016-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002933",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN184231",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "GA",
            "license": "RN184231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIAMBI",
            "last_name": "VANTRESS",
            "credential": "NP, CNS, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Forest Park, GA

Sources for this page

Verify at the official NPI Registry.