Individual provider Active NPI

Nofisia Morisseau, ARNP

  • Family Nurse Practitioner
  • Austell, GA
National Provider Identifier
1700320876
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN333284 Issued in GA
Practice address
800 E West Connector
Austell, GA 30106-1358
Phone
(866) 389-2727
NPI assigned
Dec 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9316295 FL
Family Nurse Practitioner 363LF0000X AP61498837 WA
Family Nurse Practitioner 363LF0000X 10018520 OR
Family Nurse Practitioner 363LF0000X 112963-23 NH
Family Nurse Practitioner 363LF0000X RN333284 GA Primary

Addresses

Primary practice location

800 E West Connector
Austell, GA 30106-1358

Mailing address

2114 N Flamingo Rd # 920
Pembroke Pines, FL 33028-3501
Phone (786) 387-0376

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203003507 GA Practitioner - Nurse Practitioner 8527337575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

11710 Alpharetta Hwy
Roswell, GA 30076-3807
Phone (866) 389-2727

1380 Woodstock Rd
Roswell, GA 30075-2141
Phone (866) 389-2727

2994 Atlanta Rd SE
Smyrna, GA 30080-3655
Phone (866) 389-2727

3785 Sixes Rd
Canton, GA 30114-7809
Phone (866) 389-2727

4300 Paces Ferry Rd SE
Atlanta, GA 30339-5705
Phone (866) 389-2727

4895 Post Rd
Cumming, GA 30040-4978
Phone (866) 389-2727

495 Charles Hardy Pkwy
Dallas, GA 30157-5723
Phone (866) 389-2727

687 Johnson Ferry Rd
Marietta, GA 30068-4628
Phone (866) 389-2727

800 E W Connector
Austell, GA 30106-1358
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9316295FLMDFamily Nurse Practitioner
RN333284GAMDFamily Nurse Practitioner
112963-23NHMDFamily Nurse Practitioner
10018520ORMDFamily Nurse Practitioner
AP61498837WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jan 16, 2025 Accepting new patients
Primary Care PLLC Family CurrentSince Feb 6, 2025 Accepting new patients

Locations

800 E West Connector
Austell, GA 30106
Phone (770) 438-1680

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

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1700320876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 N FLAMINGO RD # 920",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283501",
            "telephone_number": "786-387-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WEST CONNECTOR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061358",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORISSEAU",
        "first_name": "NOFISIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9316295",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61498837",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10018520",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "112963-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN333284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.