Individual provider Active NPI

Argentina Viktorovna Mykhaylova, FNP

  • Family Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1689428419
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN251882 Issued in GA
Practice address
3240 S Cobb Dr SE
Smyrna, GA 30080-4194
Phone
(770) 433-3447
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 RN251882 GA Primary

Addresses

Primary practice location

3240 S Cobb Dr SE
Smyrna, GA 30080-4194

Mailing address

2724 Lakeshore Dr
College Park, GA 30337-4842
Phone (678) 237-7077

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
I20240717000583 GA Practitioner - Nurse Practitioner 8224573019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TLC of Georgia LLC Family CurrentSince Jun 17, 2024 Accepting new patients

Locations

800 Glenwood Ave SE
Atlanta, GA 30316
Phone (470) 447-5031

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

3240 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 433-3420

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

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": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1689428419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 LAKESHORE DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303374842",
            "telephone_number": "678-237-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804194",
            "telephone_number": "770-433-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYKHAYLOVA",
        "first_name": "ARGENTINA",
        "middle_name": "VIKTOROVNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN251882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.