Individual provider Active NPI

Christine Bree Becker, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1659951614
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
195613 Issued in GA
Practice address
980 Johnson Ferry Rd
Atlanta, GA 30342-1626
Phone
(404) 303-3320
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 195613 GA Primary

Addresses

Primary practice location

980 Johnson Ferry Rd
Atlanta, GA 30342-1626

Mailing address

4354 Yosemite CT
Suwanee, GA 30024-4084
Phone (678) 978-4250

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
I20220221001330 GA Practitioner - Nurse Practitioner 9335533132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
67.82
Promoting interoperability
77
Improvement activities
40
Cost
77.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195613GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Cardiovascular Professional Services, LLC CurrentSince Nov 18, 2021 Accepting new patients

Locations

1110 W Peachtree St NW
Ste 920
Atlanta, GA 30309

575 Professional Dr
Ste 400
Lawrenceville, GA 30046
Phone (470) 325-1910

1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565

980 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 255-2057

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

980 Johnson Ferry Rd
Ste 520
Sandy Springs, GA 30342
Phone (404) 303-3320

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1659951614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4354 YOSEMITE CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244084",
            "telephone_number": "678-978-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421626",
            "telephone_number": "404-303-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "CHRISTINE",
        "middle_name": "BREE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "195613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.