Individual provider Active NPI

Hannah Van Weele, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Holly Springs, GA
National Provider Identifier
1629513312
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN198474 Issued in GA
Practice address
684 Sixes Rd Ste 130
Holly Springs, GA 30115-8758
Phone
(678) 388-5485
Fax
(678) 388-5489
NPI assigned
Jan 4, 2017
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN198474 GA Primary

Addresses

Primary practice location

684 Sixes Rd Ste 130
Holly Springs, GA 30115-8758

Mailing address

684 Sixes Rd Ste 130
Holly Springs, GA 30115-8758
Phone (678) 388-5485

Other practice location 1

900 Towne Lake Pkwy Ste 306
Woodstock, GA 30189-1604
Phone (770) 852-7720

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
Certified Nurse Practitioner, Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN198474GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson Pediatrics,PC Past Accepting new patients

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, 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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1629513312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 SIXES RD STE 130",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301158758",
            "telephone_number": "678-388-5485",
            "fax_number": "678-388-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 SIXES RD STE 130",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301158758",
            "telephone_number": "678-388-5485",
            "fax_number": "678-388-5489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Towne Lake Pkwy Ste 306",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301891604",
            "country_code": "US",
            "telephone_number": "770-852-7720",
            "fax_number": "770-852-7721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN WEELE",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "APRN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN198474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.