Individual provider Active NPI

Svetlana Kozlova, NP

  • Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1710528880
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN252782 Issued in GA
Practice address
1250 Jesse Jewell Pkwy SE Ste 200
Gainesville, GA 30501-3865
Phone
(770) 297-7277
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN252782 GA Primary

Addresses

Primary practice location

1250 Jesse Jewell Pkwy SE Ste 200
Gainesville, GA 30501-3865

Mailing address

11350 McCormick Rd, Executive Plaza 1
Suite 501
Hunt Valley, MD 21031
Phone (410) 329-1070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skozlova@nspc.emadirect.md

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
I20200409003220 GA Practitioner - Nurse Practitioner 1951730050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Spine and Pain PCGroup PAC ID 9931151032, 8 clinicians

Practice addresses (Care Compare)

1250 Jesse Jewell Pkwy SE
Suite 200
Gainesville, GA 30501-3865
Phone (770) 534-7200

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Spine and Pain PC CurrentSince Feb 10, 2020 Accepting new patients
Specialty Spine and Pain PC CurrentSince Feb 10, 2020 Accepting new patients
Southeastern Interventional Pain Associates LLC CurrentSince Apr 25, 2023 Accepting new patients
Specialty Spine and Pain PC Past Accepting new patients
Central Physical Therapy, LLC PastSince Apr 1, 2017 Accepting new patients

Locations

5005 Lanier Islands Pkwy
Ste 500
Buford, GA 30518

5005 Lanier Islands Pkwy
Ste 100
Buford, GA 30518

1498 Jesse Jewell Pkwy SE
Ste D
Gainesville, GA 30501
Phone (678) 450-4757

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

1250 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (770) 532-6341

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Interoperability endpoints

  • Direct secure messaging: skozlova@nspc.emadirect.md

Organizations & group practices 5

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1710528880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD, EXECUTIVE PLAZA 1",
            "address_2": "SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1070",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE STE 200",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013865",
            "telephone_number": "770-297-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOVA",
        "first_name": "SVETLANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN252782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skozlova@nspc.emadirect.md",
            "affiliation": "N",
            "address_1": "1250 Jesse Jewell Pkwy SE Ste 200",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.