Individual provider Active NPI

Victoria Wermers, NP

  • Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1689732190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN169089 Issued in GA
Practice address
3003 Old Alabama Rd
Alpharetta, GA 30022-8594
Phone
(713) 935-0333
NPI assigned
Dec 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN169089 GA Primary

Addresses

Primary practice location

3003 Old Alabama Rd
Alpharetta, GA 30022-8594

Mailing address

901 Warnock Way
Woodstock, GA 30188-7074
Phone (770) 591-2336

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
I20070413000284 GA Practitioner - Nurse Practitioner 4284739616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

950 Towne Lake Pkwy
Woodstock, GA 30189-1601
Phone (678) 732-1505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN169089GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Aug 1, 2017 Accepting new patients
Rediclinic LLC Past Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

4120 Austell Rd
Austell, GA 30106
Phone (678) 732-1524

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

3003 Old Alabama Rd
Johns Creek, GA 30022
Phone (678) 566-3284

2779 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (678) 732-1516

695 W Crossville Rd
Roswell, GA 30075
Phone (678) 732-1531

950 Towne Lake Pkwy
Woodstock, GA 30189
Phone (678) 732-1505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689732190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WARNOCK WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887074",
            "telephone_number": "770-591-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 OLD ALABAMA RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228594",
            "telephone_number": "713-935-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERMERS",
        "first_name": "VICTORIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN169089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.