Active NPI
Linda Royal, R.N., F.N.P.
- Family Nurse Practitioner
- Decatur, GA
National Provider Identifier
1689787533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 077505
- Practice address
- 2665 N Decatur Rd
Suite 255
Decatur, GA 30033-6149 - Phone
- (404) 501-2927
- Fax
- (404) 501-7644
- NPI assigned
- Aug 16, 2006
- Last updated
- Apr 1, 2008
- 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 | 077505 | GA | Primary |
Addresses
Primary practice location
2665 N Decatur Rd
Suite 255
Decatur, GA 30033-6149
Mailing address
PO Box 1028460
Atlanta, GA 30368-0001
Phone (404) 501-7969
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 456100341A | Medicaid | GA | |
| 456100341B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077505 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Medical Hospitalists LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Decatur, GA
- NPI 1811026891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1689787533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1028460",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303680001",
"telephone_number": "404-501-7969",
"fax_number": "404-501-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 N DECATUR RD",
"address_2": "SUITE 255",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336149",
"telephone_number": "404-501-2927",
"fax_number": "404-501-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYAL",
"first_name": "LINDA",
"credential": "R.N., F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "077505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "456100341A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "456100341B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.