Individual provider Active NPI

Julieta Gilda Valenzona, NP-C, APRN

  • Adult Health Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1588920243
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN192534 Issued in GA
Practice address
1267 Highway 54 W Ste 4200
Fayetteville, GA 30214-2112
Phone
(678) 829-1060
Fax
(678) 829-1099
NPI assigned
Apr 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN192534 GA Primary

Addresses

Primary practice location

1267 Highway 54 W Ste 4200
Fayetteville, GA 30214-2112

Mailing address

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

Other practice location 1

139 Hunterian Pl
Newnan, GA 30265-5619
Phone (770) 573-9764

Other practice location 2

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

Other practice location 3

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

Other practice location 4

1240 Eagles Landing Pkwy Ste 260
Stockbridge, GA 30281-5173
Phone (678) 854-9500

Other practice location 5

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

Other practice location 6

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

Other names 1

  • Ms. Julieta Valenzona Other name

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
I20120815000594 GA Practitioner - Nurse Practitioner 4082860515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Piedmont Cancer Institute PCGroup PAC ID 9638167844, 43 clinicians

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN192534GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC CurrentSince Apr 4, 2022 Accepting new patients

Locations

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1588920243",
    "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": "678-829-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 HIGHWAY 54 W STE 4200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142112",
            "telephone_number": "678-829-1060",
            "fax_number": "678-829-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Hunterian Pl",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302655619",
            "country_code": "US",
            "telephone_number": "770-573-9764",
            "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": "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": "1240 Eagles Landing Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302815173",
            "country_code": "US",
            "telephone_number": "678-854-9500",
            "fax_number": "678-854-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Poplar Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658303",
            "country_code": "US",
            "telephone_number": "770-251-2590",
            "fax_number": "770-251-1490",
            "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"
        }
    ],
    "basic": {
        "last_name": "VALENZONA",
        "first_name": "JULIETA",
        "middle_name": "GILDA",
        "name_prefix": "Ms.",
        "credential": "NP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-07",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN192534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIETA",
            "last_name": "VALENZONA",
            "prefix": "MS.",
            "credential": "NP-C, APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.