Individual provider Active NPI

Lucia V Ocanoviciu, NP-C

  • Primary Care Nurse Practitioner
  • Canton, GA
National Provider Identifier
1659765832
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN234135 Issued in GA
Practice address
460 Northside Cherokee Blvd Ste 300
Canton, GA 30115-8019
Phone
(770) 721-9630
Fax
(770) 721-9631
NPI assigned
Mar 25, 2015
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN234135 GA Primary

Addresses

Primary practice location

460 Northside Cherokee Blvd Ste 300
Canton, GA 30115-8019

Mailing address

320 Hospital Rd
Canton, GA 30114-2432
Phone (770) 479-5535

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
I20151014001311 GA Practitioner - Nurse Practitioner 5294044228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3340 Paddock Pkwy
Suwanee, GA 30024-9119
Phone (678) 679-6210

3350 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633

3380 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633

460 Northside Cherokee Blvd
Suite 300
Canton, GA 30115-8019
Phone (770) 721-9630

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.89 of 100Reported as group
Quality
70.82
Promoting interoperability
78
Improvement activities
40
Cost
77.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN234135GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates Professional Services, LLC CurrentSince Jun 1, 2016 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Feb 1, 2026 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

460 Northside Cherokee Blvd
Ste 300
Canton, GA 30115
Phone (770) 721-9630

1400 Northside Forsyth Dr
Ste 250
Cumming, GA 30041
Phone (770) 889-7118

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1659765832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HOSPITAL RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142432",
            "telephone_number": "770-479-5535",
            "fax_number": "770-479-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NORTHSIDE CHEROKEE BLVD STE 300",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158019",
            "telephone_number": "770-721-9630",
            "fax_number": "770-721-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCANOVICIU",
        "first_name": "LUCIA",
        "middle_name": "V",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN234135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.