Individual provider Active NPI

Mariana Sirbu

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1629445192
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
203699 Issued in GA
Practice address
3715 Northside Pkwy NW
Atlanta, GA 30327-2882
Phone
(770) 938-1757
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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 203699 GA Primary

Addresses

Primary practice location

3715 Northside Pkwy NW
Atlanta, GA 30327-2882

Mailing address

2920 Daniel Park Run
Dacula, GA 30019-7802
Phone (678) 699-0709

Other names 1

  • Mariana Cutulab 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
I20151030000297 GA Practitioner - Nurse Practitioner 0244540466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hardy Renew Wellness,LLC CurrentSince Dec 24, 2023 Accepting new patients
Vision Medical Consulting, P.C. CurrentSince Aug 10, 2015 Accepting new patients
Georgia Mso LLC CurrentSince Apr 15, 2025 Accepting new patients

Locations

350 Boulevard SE
Atlanta, GA 30312
Phone (401) 688-6731

3715 Northside Pkwy NW
Atlanta, GA 30327
Phone (678) 520-7332

3715 Northside Pkwy NW
Ste 2100
Atlanta, GA 30327
Phone (770) 938-1757

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

54 Peachtree Park Dr NE
Atlanta, GA 30309
Phone (404) 351-6041

2787 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

4115 Glenwood Rd
Decatur, GA 30032
Phone (404) 284-6414

4595 Cantrell Rd
Flowery Branch, GA 30542
Phone (770) 967-2070

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

1109 Green St
Roswell, GA 30075
Phone (770) 998-1802

4608 Lawrenceville Hwy
Tucker, GA 30084
Phone (770) 491-9444

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.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1629445192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 DANIEL PARK RUN",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197802",
            "telephone_number": "678-699-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 NORTHSIDE PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272882",
            "telephone_number": "770-938-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRBU",
        "first_name": "MARIANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "203699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANA",
            "last_name": "CUTULAB",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.