Individual provider Active NPI

Mani Sun, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1689488942
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN323753 Issued in GA
Practice address
3723 Stonewall Cir SE
Atlanta, GA 30339-3339
Phone
(404) 632-6886
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 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 RN323753 GA Primary

Addresses

Primary practice location

3723 Stonewall Cir SE
Atlanta, GA 30339-3339

Mailing address

3723 Stonewall Cir SE
Atlanta, GA 30339-3339

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
I20250221000781 GA Practitioner - Nurse Practitioner 9537689484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians
Comprehensive Primary and Urgent Care LLCGroup PAC ID 8921341082, 3 clinicians

Practice addresses (Care Compare)

3295 S Cobb Dr SE
Smyrna, GA 30080-4175
Phone (678) 723-6671

6131 S Norcross Tucker Rd
Suite 6
Norcross, GA 30093-5522
Phone (678) 205-1959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Primary and Urgent Care LLC CurrentSince Oct 22, 2025 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Feb 19, 2025 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

6131 S Norcross Tucker Rd
Ste 6
Norcross, GA 30093
Phone (678) 205-1959

3295 S Cobb Dr SE
Smyrna, GA 30080
Phone (678) 723-6671

Organizations & group practices 2

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": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1689488942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 STONEWALL CIR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 STONEWALL CIR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393339",
            "telephone_number": "404-632-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "MANI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN323753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.