Active NPI
Isabel Maria Soles, PA
- Physician Assistant
- Palmetto, GA
National Provider Identifier
1699843953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002608
- Practice address
- 643 Main St
Palmetto, GA 30268-1138 - Phone
- (404) 929-8824
- NPI assigned
- Dec 2, 2006
- Last updated
- Feb 3, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002608 | GA | Primary |
Addresses
Primary practice location
643 Main St
Palmetto, GA 30268-1138
Mailing address
643 Main St
Palmetto, GA 30268-1138
Phone (404) 929-8824
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 895669952E | Medicaid | GA | |
| 895669952B | Medicaid | GA | |
| 895669952F | Medicaid | GA | |
| 895669952C | Medicaid | GA |
Other names 1
- Mrs. Isabel Maria Soles-Talbert
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical College of Georgia School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
643 Main St
Palmetto, GA 30268-1138
Phone (770) 463-4644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002608 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Health Council, Inc. | Family Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Medical Center
- Federally Qualified Health Center (FQHC)
- Palmetto, GA
- NPI 1184884678
-
dba YourTown Health
- Federally Qualified Health Center (FQHC)
- Warm Springs, GA
- NPI 1497984769
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1699843953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 MAIN ST",
"city": "PALMETTO",
"state": "GA",
"postal_code": "302681138",
"telephone_number": "404-929-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 MAIN ST",
"city": "PALMETTO",
"state": "GA",
"postal_code": "302681138",
"telephone_number": "404-929-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLES",
"first_name": "ISABEL",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "002608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "895669952E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "895669952B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "895669952F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "895669952C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ISABEL",
"last_name": "SOLES-TALBERT",
"middle_name": "MARIA",
"prefix": "MRS.",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palmetto, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.