Individual provider Active NPI

Maria Elena Goenaga, NP-C

  • Women's Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1609156165
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN164147 Issued in GA
Practice address
315 Boulevard NE Ste 224
Atlanta, GA 30312-1220
Phone
(404) 343-8249
NPI assigned
Aug 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN164147 GA Primary

Addresses

Primary practice location

315 Boulevard NE Ste 224
Atlanta, GA 30312-1220

Mailing address

315 Boulevard NE Ste 224
Atlanta, GA 30312-1220
Phone (404) 343-8249

Other names 1

  • Maria Goenaga Epling Former 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
I20230612001146 GA Practitioner - Nurse Practitioner 5698904886 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Health Centers of Georgia, Inc CurrentSince Jan 16, 2023 Accepting new patients
The Family Health Centers of Georgia, Inc CurrentSince Jan 16, 2023 Accepting new patients

Locations

315 Boulevard NE
Ste 224
Atlanta, GA 30312
Phone (404) 265-6888

550 Peachtree St NE
Ste 1250
Atlanta, GA 30308
Phone (256) 387-7604

868 York Ave SW
Atlanta, GA 30310

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": "1314403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1609156165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BOULEVARD NE STE 224",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121220",
            "telephone_number": "404-343-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BOULEVARD NE STE 224",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121220",
            "telephone_number": "404-343-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOENAGA",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-27",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN164147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "EPLING",
            "middle_name": "GOENAGA",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.