Individual provider Active NPI

Myrlande Jules-Villefranche, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1598012098
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN175271 Issued in GA
Practice address
341 Ponce de Leon Ave
Atlanta, GA 30308
Phone
(404) 616-2400
Fax
(404) 616-9732
NPI assigned
Aug 14, 2012
Last updated
Aug 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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 RN175271 GA Primary

Addresses

Primary practice location

341 Ponce de Leon Ave
Atlanta, GA 30308

Mailing address

3539 Estates Landing Dr NW
Kennesaw, GA 30144-3750
Phone (770) 517-4772

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
I20120911000382 GA Practitioner - Nurse Practitioner 7416105796 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

Practice addresses (Care Compare)

3350 Breckinridge Blvd
Suite 200
Duluth, GA 30096-4959
Phone (770) 962-8396

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Mar 24, 2024 Accepting new patients
Douglas County Board of Health Current Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Aug 1, 2012 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Aug 1, 2012 Accepting new patients
Positive Impact Health Centers Inc CurrentSince Jun 29, 2019 Accepting new patients
Positive Impact Health Centers, Inc. CurrentSince Jun 29, 2019 Accepting new patients
Positive Impact Health Centers, Inc Past Accepting new patients

Locations

341 Ponce de Leon Ave NE
Atlanta, GA 30308
Phone (404) 616-2440

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

6770 Selman Dr
Douglasville, GA 30134
Phone (770) 514-2300

3075 Breckinridge Blvd
Ste 415
Duluth, GA 30096
Phone (770) 962-8396

3350 Breckinridge Blvd
Ste 200
Duluth, GA 30096
Phone (770) 962-8396

1650 County Services Pkwy SW
Marietta, GA 30008
Phone (770) 514-2300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/

Organizations & group practices 7

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1598012098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 ESTATES LANDING DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443750",
            "telephone_number": "770-517-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 PONCE DE LEON AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30308",
            "telephone_number": "404-616-2400",
            "fax_number": "404-616-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULES-VILLEFRANCHE",
        "first_name": "MYRLANDE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN175271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.