Individual provider Active NPI

Shoshana Guttman, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1669249538
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11230075 Issued in GA
Practice address
1227 Biltmore Dr NE
Atlanta, GA 30329-3811
Phone
(443) 823-0779
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 F11230075 GA Primary

Addresses

Primary practice location

1227 Biltmore Dr NE
Atlanta, GA 30329-3811

Mailing address

1227 Biltmore Dr NE
Atlanta, GA 30329-3811

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
I20240701000343 GA Practitioner - Nurse Practitioner 1850835935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Mso LLCGroup PAC ID 3173041639, 29 clinicians

Practice addresses (Care Compare)

1640 Powers Ferry Rd SE
BLDG 15
Marietta, GA 30067-5491
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F11230075GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hardy Renew Wellness,LLC CurrentSince May 1, 2024 Accepting new patients
Provider Partners Care Management LP CurrentSince Jan 7, 2025 Accepting new patients
Georgia Mso LLC CurrentSince Apr 15, 2025 Accepting new patients

Locations

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

809 S Broad St SW
Rome, GA 30161
Phone (706) 235-1337

1500 S Johnson Ferry Rd
Sandy Springs, GA 30319
Phone (404) 252-2002

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

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.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1669249538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 BILTMORE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 BILTMORE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293811",
            "telephone_number": "443-823-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTMAN",
        "first_name": "SHOSHANA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F11230075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.