Active NPI
Berly Sojan, FNP
- Family Nurse Practitioner
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN177346
- Practice address
- 1301 Sigman Rd NE Ste 230
Conyers, GA 30012-3819 - Phone
- (678) 609-4912
- NPI assigned
- Dec 3, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN177346 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN177346 | GA | Primary |
Addresses
Primary practice location
1301 Sigman Rd NE Ste 230
Conyers, GA 30012-3819
Mailing address
3465 Preservation Cir
Lilburn, GA 30047-2066
Phone (678) 925-0837
Other practice location 1
4025 Lawrenceville Hwy NW Ste A
Lilburn, GA 30047-2876
Phone (770) 559-3501
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211229000802 | GA | Practitioner - Nurse Practitioner | 3173914108 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Piedmont Medical Care Corporation
Practice addresses (Care Compare)
1301 Sigman Rd NE
Suite 230
Conyers, GA 30012-3819
Phone (678) 609-4912
Hospital & facility affiliations
- Piedmont Rockdale Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN177346 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Current | Accepting new patients | |
| Lifeline Primary Care, Inc | Current | Accepting new patients | |
| Lifeline Primary Care, Inc | Current | Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
1301 Sigman Rd NE
Ste 230
Conyers, GA 30012
Phone (678) 609-4912
4025 Lawrenceville Hwy NW
Ste A
Lilburn, GA 30047
Phone (770) 559-3501
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Duluth, GA
- NPI 1104292630
Hospital & facility affiliations 1
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": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1609413152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3465 PRESERVATION CIR",
"city": "LILBURN",
"state": "GA",
"postal_code": "300472066",
"telephone_number": "678-925-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SIGMAN RD NE STE 230",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123819",
"telephone_number": "678-609-4912"
}
],
"practiceLocations": [
{
"address_1": "4025 Lawrenceville Hwy NW Ste A",
"address_purpose": "LOCATION",
"city": "Lilburn",
"state": "GA",
"postal_code": "300472876",
"country_code": "US",
"telephone_number": "770-559-3501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOJAN",
"first_name": "BERLY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-03",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN177346",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN177346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.