Organization Active NPI

New Journey Medical & Aesthetics

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1639950108
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Oct 11, 2023

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1851170138OtherGANPI NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.