Active NPI
Kari LW Vance, NP
- Family Nurse Practitioner
- Peachtree Corners, GA
National Provider Identifier
1689904229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN223468
- Practice address
- 5185 Peachtree Pkwy Ste 330
Peachtree Corners, GA 30092-6541 - Phone
- (770) 476-9885
- Fax
- (770) 476-8482
- NPI assigned
- Jan 4, 2010
- 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 | RN223468 | GA | Primary |
Addresses
Primary practice location
5185 Peachtree Pkwy Ste 330
Peachtree Corners, GA 30092-6541
Mailing address
PO Box 6687
Atlanta, GA 30315-0687
Phone (404) 688-1350
Other practice location 1
3554 Habersham Rd NW
Atlanta, GA 30305-1155
Phone (601) 842-9898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN223468 | Other | GA | GA BOARD OF NURSING |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN223468 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of North Atlanta, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/4361/brand/1/csg/1/fhir/r4
- kari.vance.1@4361.direct.athenahealth.com
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.
-
- Pediatrics Physician
- Duluth, GA
- NPI 1184763062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1689904229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6687",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303150687",
"telephone_number": "404-688-1350",
"fax_number": "404-688-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5185 PEACHTREE PKWY STE 330",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300926541",
"telephone_number": "770-476-9885",
"fax_number": "770-476-8482"
}
],
"practiceLocations": [
{
"address_1": "3554 Habersham Rd NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303051155",
"country_code": "US",
"telephone_number": "601-842-9898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANCE",
"first_name": "KARI",
"middle_name": "LW",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-04",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN223468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA BOARD OF NURSING",
"identifier": "RN223468",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.