Individual provider Active NPI

Annmarie Olivet Iverine Pinckney, NP

  • Adult Health Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1578678686
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN333841 Issued in GA
Practice address
775 Poplar Rd Ste 310
Newnan, GA 30265-8303
Phone
(770) 251-2590
Fax
(770) 251-1490
NPI assigned
Aug 20, 2006
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN333841 GA Primary
Adult Health Nurse Practitioner 363LA2200X F302383 NY

Addresses

Primary practice location

775 Poplar Rd Ste 310
Newnan, GA 30265-8303

Mailing address

1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922
Phone (678) 298-3239

Other practice location 1

1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922
Phone (404) 350-9853

Other practice location 2

4877 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone (678) 399-7190

Other practice location 3

755 Mount Vernon Hwy NE Ste 320
Atlanta, GA 30328-4288
Phone (404) 350-8711

Other practice location 4

1267 Highway 54 W Ste 4200
Fayetteville, GA 30214-2112
Phone (678) 829-1060

Other practice location 5

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-4310

Other practice location 6

290 Country Club Dr Ste 100
Stockbridge, GA 30281-9069
Phone (678) 854-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 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
I20041026000277 NY Practitioner - Nurse Practitioner 3072574755 Reassigns benefits to 1 organization
I20250520000855 GA Practitioner - Nurse Practitioner 3072574755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Piedmont Cancer Institute PCGroup PAC ID 9638167844, 43 clinicians

Practice addresses (Care Compare)

775 Poplar Rd
Suite 310
Newnan, GA 30265-8303
Phone (770) 251-2590

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F302383NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Piedmont Cancer Institute PC CurrentSince May 12, 2025 Accepting new patients
Piedmont Cancer Institute PC CurrentSince May 12, 2025 Accepting new patients
Morningside Medical Practice, P.C. Past Accepting new patients

Locations

1800 Howell Mill Rd NW
Ste 800
Atlanta, GA 30318
Phone (404) 350-9853

1267 Highway 54 W
Ste 4200
Fayetteville, GA 30214
Phone (678) 829-1060

4877 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (404) 367-2097

775 Poplar Rd
Ste 310
Newnan, GA 30265
Phone (770) 251-2590

755 Mount Vernon Hwy NE
Ste 320
Sandy Springs, GA 30328
Phone (404) 350-8711

1240 Eagles Landing Pkwy
Ste 260
Stockbridge, GA 30281
Phone (678) 854-9500

290 Country Club Dr
Ste 100
Stockbridge, GA 30281
Phone (678) 854-9500

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

300 Community Dr
Manhasset, NY 11030

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

101 Hospital Rd
Rm 263
Patchogue, NY 11772
Phone (631) 687-4131

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 4

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.

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1578678686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180922",
            "telephone_number": "678-298-3239",
            "fax_number": "404-477-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD STE 310",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658303",
            "telephone_number": "770-251-2590",
            "fax_number": "770-251-1490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Howell Mill Rd NW Ste 800",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303180922",
            "country_code": "US",
            "telephone_number": "404-350-9853",
            "fax_number": "404-350-8407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4877 Bill Gardner Pkwy",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "GA",
            "postal_code": "302483644",
            "country_code": "US",
            "telephone_number": "678-399-7190",
            "fax_number": "678-399-7192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Mount Vernon Hwy NE Ste 320",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284288",
            "country_code": "US",
            "telephone_number": "404-350-8711",
            "fax_number": "404-351-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1267 Highway 54 W Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302142112",
            "country_code": "US",
            "telephone_number": "678-829-1060",
            "fax_number": "678-829-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303816",
            "country_code": "US",
            "telephone_number": "516-562-4310",
            "fax_number": "516-465-1890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 Country Club Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302819069",
            "country_code": "US",
            "telephone_number": "678-854-9500",
            "fax_number": "678-854-9502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINCKNEY",
        "first_name": "ANNMARIE",
        "middle_name": "OLIVET IVERINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN333841",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.