Individual provider Active NPI

Rhonda Cantu, FNP

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1669923157
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN334871 Issued in GA
Practice address
102 Ruby Way
Griffin, GA 30224-5450
Phone
(850) 452-5698
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9427718 FL
Family Nurse Practitioner 363LF0000X RN334871 GA Primary
Registered Nurse 163W00000X 702724 TX

Addresses

Primary practice location

102 Ruby Way
Griffin, GA 30224-5450

Mailing address

102 Ruby Way
Griffin, GA 30224-5450
Phone (757) 353-2294

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
I20250506001453 GA Practitioner - Nurse Practitioner 6901323732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

102 Ruby Way
Griffin, GA 30224-5450

2 University PLZ
Suite 204
Hackensack, NJ 07601-6211

2 University PLZ
Suite 204
Hackensack, NJ 07601-6227

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
702724TXMDRegistered Nurse
9427718FLMDFamily Nurse Practitioner
RN334871GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC DMV III LLC CurrentSince Mar 9, 2026 Accepting new patients
Centerwell Senior Primary Care Ga PC CurrentSince Mar 17, 2025 Accepting new patients
Centerwell Senior Primary Care Ga PC CurrentSince Mar 17, 2025 Accepting new patients
Ennoble HC DMV II LLC CurrentSince Mar 9, 2026 Accepting new patients
Ennoble HC DMV LLC CurrentSince Mar 9, 2026 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2002 Summit Blvd
Ste 300
Brookhaven, GA 30319
Phone (973) 241-1356

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

50 Glenlake Pkwy
Ste 420
Sandy Springs, GA 30328
Phone (404) 595-2210

6085 Old National Hwy
Ste G
South Fulton, GA 30349
Phone (470) 754-6360

Interoperability endpoints

  • Direct secure messaging: rhonda.cantu.1@29601.direct.athenahealth.com

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1669923157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RUBY WAY",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302245450",
            "telephone_number": "757-353-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RUBY WAY",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302245450",
            "telephone_number": "850-452-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "RHONDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9427718",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN334871",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "702724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.