Active NPI
Virginia Maria Bundy, FNP-C
- Family Nurse Practitioner
- Alpharetta, GA
National Provider Identifier
1598108524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN050495
- Practice address
- 3400 Old Milton Parkway Building a
Suite 130
Alpharetta, GA 30005 - Phone
- (770) 664-8898
- Fax
- (770) 772-4377
- NPI assigned
- Apr 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN050495 | GA | Primary |
Addresses
Primary practice location
3400 Old Milton Parkway Building a
Suite 130
Alpharetta, GA 30005
Mailing address
3400 Old Milton Parkway Building a
Suite 130
Alpharetta, GA 30005
Phone (770) 664-8898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003149838A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perimeter North Family Practice LLC | Current | Accepting new patients |
Locations
3400 Old Milton Pkwy
Ste 130
Alpharetta, GA 30005
Phone (770) 664-8898
960 Johnson Fy Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 255-7325
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 and National Provider Directory roles.
-
dba Perimeter North Family Medicine, LLC
- Family Medicine Physician
- Atlanta, GA
- NPI 1295936318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1598108524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 OLD MILTON PARKWAY BUILDING A",
"address_2": "SUITE 130",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"telephone_number": "770-664-8898",
"fax_number": "770-772-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 OLD MILTON PARKWAY BUILDING A",
"address_2": "SUITE 130",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"telephone_number": "770-664-8898",
"fax_number": "770-772-4377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNDY",
"first_name": "VIRGINIA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN050495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003149838A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.