Individual provider Active NPI

Cindy Liberal, APRN

  • Family Nurse Practitioner
  • Acworth, GA
National Provider Identifier
1659922508
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN290789 Issued in GA
Practice address
1762 Mars Hill Rd NW
Acworth, GA 30101-8091
Phone
(404) 948-3019
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11003726 FL
Family Nurse Practitioner 363LF0000X RN290789 GA Primary

Addresses

Primary practice location

1762 Mars Hill Rd NW
Acworth, GA 30101-8091

Mailing address

745 NE 178TH St
Miami, FL 33162-1124

Other practice location 1

745 NE 178th St
Miami, FL 33162-1124
Phone (786) 877-7830

Other practice location 2

11000 N Military Trl
Palm Beach Gardens, FL 33410-6597
Phone (401) 595-1028

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
I20200109001471 GA Practitioner - Nurse Practitioner 1658706239 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

2154 Johnson Ferry Rd NE
Brookhaven, GA 30319-2558
Phone (678) 732-1509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN290789GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Aug 8, 2022 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Nov 20, 2019 Accepting new patients
Icecare LLC CurrentSince Jun 1, 2024 Accepting new patients
Peachtree Immediate Care UC, LLC PastSince Nov 20, 2019 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

1762 Mars Hill Rd NW
Acworth, GA 30101
Phone (678) 732-1506

2154 Johnson Ferry Rd NE
Brookhaven, GA 30319
Phone (678) 732-1509

590 Lanier Ave W
Fayetteville, GA 30214

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2005 Mount Zion Rd
Morrow, GA 30260
Phone (770) 919-5250

976 Mansell Rd
Roswell, GA 30076
Phone (770) 800-3277

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1659922508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 NE 178TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331621124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 MARS HILL RD NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018091",
            "telephone_number": "404-948-3019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 NE 178th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331621124",
            "country_code": "US",
            "telephone_number": "786-877-7830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11000 N Military Trl",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334106597",
            "country_code": "US",
            "telephone_number": "401-595-1028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBERAL",
        "first_name": "CINDY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003726",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN290789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.