Active NPI
Argentina Viktorovna Mykhaylova, FNP
- Family Nurse Practitioner
- Smyrna, GA
National Provider Identifier
1689428419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN251882
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240717000583 | GA | Practitioner - Nurse Practitioner | 8224573019 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC of Georgia LLC | Family | Current | 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.
-
- Family Nurse Practitioner
- Jefferson, GA
- NPI 1750677241
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.