Individual provider Active NPI

Dalia Torres Monet

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1548677289
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
211377 Issued in GA
Practice address
3205 Chamblee Tucker Rd
Atlanta, GA 30341-4220
Phone
(347) 901-0525
NPI assigned
Jul 15, 2014
Last updated
May 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2024

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 211377 GA Primary

Addresses

Primary practice location

3205 Chamblee Tucker Rd
Atlanta, GA 30341-4220

Mailing address

3205 Chamblee Tucker Rd
Atlanta, GA 30341-4220
Phone (917) 455-1403

Other identifiers 1

IdentifierTypeStateIssuer
003147482AMedicaidGA

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
I20250109000329 GA Practitioner - Nurse Practitioner 4981132602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro de Salud Familiar Norcross Medical Clinic LLCGroup PAC ID 1850829870, 4 clinicians

Practice addresses (Care Compare)

5717 Allee Way
Braselton, GA 30517-6200

5836 Buford Hwy
Suite C
Norcross, GA 30071-2581
Phone (770) 734-9920

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211377GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud Familiar Norcross Medical Clinic LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients

Locations

5836 Buford Hwy
Ste C
Norcross, GA 30071
Phone (770) 734-9920

Organizations & group practices 1

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1548677289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 CHAMBLEE TUCKER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414220",
            "telephone_number": "917-455-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 CHAMBLEE TUCKER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414220",
            "telephone_number": "347-901-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES MONET",
        "first_name": "DALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-05-18",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "211377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147482A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.