Individual provider Active NPI

Poonam Batchu, FNP

  • Family Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1689273930
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN260090 Issued in GA
Practice address
663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone
(678) 450-0202
Fax
(678) 450-0080
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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 RN260090 GA Primary

Addresses

Primary practice location

663 Lanier Park Dr
Gainesville, GA 30501-2059

Mailing address

663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (678) 450-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WA, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240131002743 CO Practitioner - Nurse Practitioner 5193178648
I20240212004125 WA Practitioner - Nurse Practitioner 5193178648 Reassigns benefits to 1 organization
I20240315000623 GA Practitioner - Nurse Practitioner 5193178648 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
Kidney Care Center of Georgia LLCGroup PAC ID 9638200819, 24 clinicians

Practice addresses (Care Compare)

663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (678) 450-0202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Center of Georgia LLC CurrentSince Mar 1, 2024 Accepting new patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Dec 30, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 30, 2023 Accepting new patients

Locations (25 of 35)

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

6225 Atlanta Hwy
Ste 117
Alpharetta, GA 30004
Phone (770) 569-1275

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

1241 Friendship Rd
Braselton, GA 30517
Phone (770) 965-6056

5670 Old Winder Hwy
Ste 200
Braselton, GA 30517
Phone (404) 593-0090

1550 Buford Hwy
Ste 1E
Buford, GA 30518
Phone (404) 645-7150

2349 Sparta Way
Buford, GA 30519
Phone (770) 964-1190

101 Greenfield Dr
Ste 240
Cumming, GA 30040
Phone (470) 253-9739

1070 Buford Rd
Cumming, GA 30041
Phone (678) 450-3625

1165 Sanders Rd
Cumming, GA 30041
Phone (210) 379-8553

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

3530 Rowe Ln
Cumming, GA 30041
Phone (770) 886-2489

3015 The Commons Dr
Cumming, GA 30041
Phone (770) 205-3289

495 Highway 400
Dahlonega, GA 30533
Phone (469) 757-1107

81 Northside Dawson Dr
Ste 315
Dawsonville, GA 30534
Phone (770) 601-9440

638 441 Historic Hwy N
Ste C
Demorest, GA 30535
Phone (706) 754-3022

735 441 Historic Hwy N
Demorest, GA 30535

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

3170 Peachtree Industrial Blvd
Ste 100
Duluth, GA 30097
Phone (770) 232-5219

663 Lanier Park Dr
Gainesville, GA 30501
Phone (678) 450-8841

1492 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (678) 989-0645

2565 Thompson Bridge Rd
Ste 104
Gainesville, GA 30501

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

1856 Thompson Bridge Rd
Ste 101
Gainesville, GA 30501
Phone (770) 534-6999

2545 Flintridge Rd
Ste 130
Gainesville, GA 30501
Phone (770) 536-7194

Interoperability endpoints

  • Direct secure messaging: pbatchu62274@direct.acumenmd.com

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1689273930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "678-450-0202",
            "fax_number": "678-450-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "678-450-0202",
            "fax_number": "678-450-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATCHU",
        "first_name": "POONAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2024-06-28",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN260090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.