NPIMap

Individual provider Active NPI

Cathleen Ann Provins, RN, ACNP-BC, PHD

  • Acute Care Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1578892071
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN098946 Issued in GA
Practice address
550 Peachtree St NE BLDG 324
Atlanta, GA 30308
Phone
(404) 686-1000
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN098946 GA Primary

Addresses

Primary practice location

550 Peachtree St NE BLDG 324
Atlanta, GA 30308

Mailing address

550 Peachtree Street -Davis Fischer Building Office 324
Suite 350
Atlanta, GA 30308
Phone (404) 686-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100323000312 GA Practitioner - Nurse Practitioner 2365577822 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

  • Emory University Hospital Hospital, Atlanta, GA, CCN 110010

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Jan 22, 2018 Accepting new patients
Georgia Em-I Medical Services PC CurrentSince Aug 20, 2023 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2018 Accepting new patients
Lagrange Emergency Physicians, LLC CurrentSince Sep 1, 2013 Accepting new patients
Small Hospital Innovations LLC CurrentSince Mar 1, 2022 Accepting new patients
Southern Regional Physicians Management Group, LLC CurrentSince Mar 4, 2019 Accepting new patients
Georgia Em-I Medical Services. LLC Current Accepting new patients
Emory Medical Care Foundation CurrentSince Jul 1, 2018 Accepting new patients
Sandy Creek Emergency Group, PC CurrentSince Jul 1, 2024 Accepting new patients
The Bortolazzo Group, LLC CurrentSince Feb 1, 2011 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

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

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: cchurbock94459@direct.emory.org

Organizations & group practices 12

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 2

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": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1578892071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE STREET -DAVIS FISCHER BUILDING OFFICE 324",
            "address_2": "SUITE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30308",
            "telephone_number": "404-686-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE BLDG 324",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30308",
            "telephone_number": "404-686-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVINS",
        "first_name": "CATHLEEN",
        "middle_name": "ANN",
        "credential": "RN, ACNP-BC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN098946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.