Individual provider Active NPI

Sylvia Nambela Sakulanda, FNP

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1679922066
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN205357 Issued in GA
Practice address
4895 Post Rd
Cumming, GA 30040-4978
Phone
(678) 341-6858
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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 RN205357 GA Primary

Addresses

Primary practice location

4895 Post Rd
Cumming, GA 30040-4978

Mailing address

4895 Post Rd
Cumming, GA 30040-4978
Phone (678) 341-6858

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
I20161018000888 GA Practitioner - Nurse Practitioner 8022306463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

755 Walther Rd
Lawrenceville, GA 30046-8725
Phone (678) 272-3648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.66 of 100Reported as group
Quality
58.46
Promoting interoperability
83
Improvement activities
40
Cost
77.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside CV Professional Services LLC CurrentSince Jun 1, 2021 Accepting new patients
Northside Cardiovascular Professional Services, LLC CurrentSince Jun 1, 2024 Accepting new patients
Northside Hospital, Inc. CurrentSince Jun 1, 2021 Accepting new patients

Locations

1110 W Peachtree St NW
Ste 920
Atlanta, GA 30309

1132 Athens Hwy
Ste 207
Grayson, GA 30017
Phone (678) 312-0300

755 Walther Rd
Lawrenceville, GA 30046

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

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

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

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1679922066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 POST RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300404978",
            "telephone_number": "678-341-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 POST RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300404978",
            "telephone_number": "678-341-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKULANDA",
        "first_name": "SYLVIA",
        "middle_name": "NAMBELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN205357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.