Monique Corbett

Individual provider Active NPI Family Nurse Practitioner · Chamblee, GA

NPI 1699368076 · NPPES record last updated Dec 15, 2025

Key facts

NPI
1699368076
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
346740 (NY)
Practice address
5764 Peachtree Industrial Blvd
Chamblee, GA 30341-1908
Phone
(770) 457-4401
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care PLLC (19 clinicians)
Minuteclinic LLC (576 clinicians)

Practice addresses (Care Compare)

5764 Peachtree Industrial Blvd
Chamblee, GA 30341-1908
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
79.81 of 100 (group)
Quality
73.41
Improvement activities
40
Cost
81.45

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY, GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210324000072 NY Practitioner - Nurse Practitioner 7012324858 Reassigns benefits to 1 organization
I20260102002582 GA Practitioner - Nurse Practitioner 7012324858 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family Current
since Dec 18, 2025
Accepting new patients
Primary Care PLLC Family Current
since Dec 18, 2025
Accepting new patients
Molina Healthcare of New York, Inc. Current
since Dec 5, 2022
Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

5764 Peachtree Industrial Blvd
Chamblee, GA 30341
Phone (770) 457-4401

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

5232 Witz Dr
North Syracuse, NY 13212
Phone (315) 632-5960

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346740 NY Yes

Addresses

Primary practice location

5764 Peachtree Industrial Blvd
Chamblee, GA 30341-1908

Mailing address

5764 Peachtree Industrial Blvd
Chamblee, GA 30341-1908

Other providers in Chamblee, GA

All providers in Chamblee, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.