Active NPI
Moneka Angilene Patterson, APRN
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN269126
- Practice address
- 3637 Peachtree Rd NE
Atlanta, GA 30319-1252 - Phone
- (404) 926-3541
- NPI assigned
- Dec 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN269126 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | 19215 | SC |
Addresses
Primary practice location
3637 Peachtree Rd NE
Atlanta, GA 30319-1252
Mailing address
3450 Blair Cir NE Unit 4210
Brookhaven, GA 30319-2266
Phone (843) 617-3028
Other practice location 1
201 Cashua St
Darlington, SC 29532-3301
Phone (843) 393-7452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3147 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, AZ, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN269126 | GA | MD | Family Nurse Practitioner |
| 19215 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Larson MD PC | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Past | Accepting new patients | |
| Central Texas Holistic Care PLLC | Family | Past | Accepting new patients |
Locations
3000 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (623) 282-4078
2505 Anthem Village Dr
Ste E162
Henderson, NV 89052
3185 Saint Rose Pkwy
Ste 330
Henderson, NV 89052
Phone (702) 735-5075
2505 Anthem Village Dr
Ste F162
Henderson, NV 89052
2505 Anthem Village Dr
Ste F
Henderson, NV 89052
701 N Green Valley Pkwy
Ste 213
Henderson, NV 89074
2025 Memory Ln
Ste 300
Harker Heights, TX 76548
Phone (254) 987-8802
Interoperability endpoints
- moneka.patterson@49412312072196.direct.elationemr.com
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Family Nurse Practitioner
- Killeen, TX
- NPI 1568295616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1659779809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 BLAIR CIR NE UNIT 4210",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303192266",
"telephone_number": "843-617-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 PEACHTREE RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303191252",
"telephone_number": "404-926-3541"
}
],
"practiceLocations": [
{
"address_1": "201 Cashua St",
"address_purpose": "LOCATION",
"city": "Darlington",
"state": "SC",
"postal_code": "295323301",
"country_code": "US",
"telephone_number": "843-393-7452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "MONEKA",
"middle_name": "ANGILENE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN269126",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19215",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3147",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.