Individual provider Active NPI

Irina Mocanu, NP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1689259517
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN246912 Issued in GA
Practice address
3963 Devon Oaks Dr NE
Marietta, GA 30066-2127
Phone
(770) 880-2250
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 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 RN246912 GA Primary

Addresses

Primary practice location

3963 Devon Oaks Dr NE
Marietta, GA 30066-2127

Mailing address

3963 Devon Oaks Dr NE
Marietta, GA 30066-2127
Phone (770) 880-2250

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
I20220811003016 GA Practitioner - Nurse Practitioner 0749663599 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Medico de Georgia, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

5955 Jimmy Carter Blvd
Ste 100
Norcross, GA 30071
Phone (770) 559-3555

2721 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 444-9494

Interoperability endpoints

  • Direct secure messaging: grupomedico.irinamocanu@160619.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1689259517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3963 DEVON OAKS DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662127",
            "telephone_number": "770-880-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3963 DEVON OAKS DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662127",
            "telephone_number": "770-880-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCANU",
        "first_name": "IRINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN246912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.