Active NPI
Feonie O Eleuterio, REGISTER NURSE
- Family Nurse Practitioner
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN311185
- Practice address
- 2732 Candler Rd
Decatur, GA 30034-1410 - Phone
- (704) 443-1334
- Fax
- (470) 276-4051
- NPI assigned
- May 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | F344262 | NY | |
| Family Nurse Practitioner | 363LF0000X | RN311185 | GA | Primary |
Addresses
Primary practice location
2732 Candler Rd
Decatur, GA 30034-1410
Mailing address
PO Box 740015
Atlanta, GA 30374-0015
Phone (312) 733-9730
Other practice location 1
1263 Moreland Ave SE
Atlanta, GA 30316-3183
Phone (470) 444-3137
Other practice location 2
7028 Highway 85
Riverdale, GA 30274-2946
Phone (470) 444-3136
Other practice location 3
3088 Washington Rd
East Point, GA 30344-4566
Phone (470) 444-3135
Other practice location 4
1631 Gordon Hwy Ste 17A
Augusta, GA 30906-2229
Phone (706) 230-7006
Other practice location 5
1825 Rockbridge Rd Ste 15B
Stone Mountain, GA 30087-3306
Phone (470) 444-3134
Other practice location 6
625 S Marietta Pkwy SE
Marietta, GA 30060-2748
Phone (470) 377-7228
Other practice location 7
677 Cascade Ave SW
Atlanta, GA 30310-2404
Phone (470) 444-3143
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241021000557 | GA | Order and Referring Only - Nurse Practitioner | 1052642816 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F344262 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Regional Medical Center | Past | Accepting new patients | |
| Qcpi-Villagemd, PC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1a399bfe-f78b-4bd3-b22b-301d9fc9736a/
- feonie.eleuterio.1@30520.direct.athenahealth.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Clarksville, AR
- NPI 1134116049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1659808335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740015",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740015",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2732 CANDLER RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300341410",
"telephone_number": "704-443-1334",
"fax_number": "470-276-4051"
}
],
"practiceLocations": [
{
"address_1": "1263 Moreland Ave SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303163183",
"country_code": "US",
"telephone_number": "470-444-3137",
"fax_number": "470-202-3003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7028 Highway 85",
"address_purpose": "LOCATION",
"city": "Riverdale",
"state": "GA",
"postal_code": "302742946",
"country_code": "US",
"telephone_number": "470-444-3136",
"fax_number": "470-298-7730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3088 Washington Rd",
"address_purpose": "LOCATION",
"city": "East Point",
"state": "GA",
"postal_code": "303444566",
"country_code": "US",
"telephone_number": "470-444-3135",
"fax_number": "404-777-9336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1631 Gordon Hwy Ste 17A",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309062229",
"country_code": "US",
"telephone_number": "706-230-7006",
"fax_number": "762-257-7442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1825 Rockbridge Rd Ste 15B",
"address_purpose": "LOCATION",
"city": "Stone Mountain",
"state": "GA",
"postal_code": "300873306",
"country_code": "US",
"telephone_number": "470-444-3134",
"fax_number": "470-276-4370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "625 S Marietta Pkwy SE",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300602748",
"country_code": "US",
"telephone_number": "470-377-7228",
"fax_number": "470-467-7583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "677 Cascade Ave SW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303102404",
"country_code": "US",
"telephone_number": "470-444-3143",
"fax_number": "470-467-7469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELEUTERIO",
"first_name": "FEONIE",
"middle_name": "O",
"name_prefix": "Ms.",
"credential": "REGISTER NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F344262",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN311185",
"primary": true
}
],
"identifiers": [],
"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 Feb 2, 2023; 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.