Individual provider Active NPI

Amelia R Narain, NP

  • Gerontology Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1700047545
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN115333 Issued in GA
Practice address
3680 Warwick Way
In My Garden
Snellville, GA 30039-8068
Phone
(404) 964-2805
NPI assigned
Jun 24, 2008
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN115333 GA Primary
General Practice Registered Nurse 163WG0000X RN115333 GA

Addresses

Primary practice location

3680 Warwick Way
In My Garden
Snellville, GA 30039-8068

Mailing address

3680 Warwick Way
In My Garden
Snellville, GA 30039-8068
Phone (404) 964-2805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN115333GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Edge Inc Current Accepting new patients
In My Garden Health and Lifestyle Consulting Current Accepting new patients
Igh Medical Enterprises Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amelia.narain.1@29479.direct.athenahealth.com

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1700047545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 WARWICK WAY",
            "address_2": "IN MY GARDEN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398068",
            "telephone_number": "404-964-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 WARWICK WAY",
            "address_2": "IN MY GARDEN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398068",
            "telephone_number": "404-964-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAIN",
        "first_name": "AMELIA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN115333",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN115333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.