Active NPI
New Journey Medical & Aesthetics
- Family Nurse Practitioner
- Decatur, GA
National Provider Identifier
1639950108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- NEW JOURNEY MEDICAL & AESTHETICS
- Practice address
- 2784 N Decatur Rd Unit 160
Decatur, GA 30033-5903 - Phone
- (678) 383-1058
- NPI assigned
- Oct 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Egreta Stone, NP
- Title
- Nurse Practitioner/Owner
- Phone
- (470) 905-5162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2784 N Decatur Rd Unit 160
Decatur, GA 30033-5903
Mailing address
7870 Bleusparrow Dr
Fairburn, GA 30213-6541
Phone (470) 905-5162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851170138 | Other | GA | NPI NUMBER |
National Provider Directory
National Provider DirectoryLocations
2784 N Decatur Rd
Ste 160
Decatur, GA 30033
Phone (470) 905-5162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696982400000",
"number": "1639950108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7870 BLEUSPARROW DR",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302136541",
"telephone_number": "470-905-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2784 N DECATUR RD UNIT 160",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335903",
"telephone_number": "678-383-1058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JOURNEY MEDICAL & AESTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-11",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "EGRETA",
"authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "470-905-5162",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1851170138",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.