Vernesa Wright, NP
Individual provider Active NPI Nurse Practitioner · Lake Spivey, GA
NPI 1720577372 · NPPES record last updated Mar 18, 2019
Key facts
- NPI
- 1720577372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN197993 (GA)
- Practice address
- 7813 Spivey Station Blvd Ste 210
Lake Spivey, GA 30236-2900 - Phone
- (770) 507-0070
- Fax
- (770) 507-7469
- NPI assigned
- May 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NSH Cancer Institute Professional Services a, LLC
Practice addresses (Care Compare)
1050 Eagles Landing Pkwy
Suite 302
Stockbridge, GA 30281-9250
Phone (770) 507-0070
1498 Klondike Rd SW
Suite 106
Conyers, GA 30094-5169
Phone (770) 761-7260
Hospital & facility affiliations
- Northside Hospital
- Piedmont Henry Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181023003688 | GA | Practitioner - Nurse Practitioner | 6901159854 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN197993 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Cancer Institute Professional Services a LLC | Current |
Accepting new patients | |
| NSH Cancer Institute Professional Services a LLC | Current |
Accepting new patients |
Locations
1498 Klondike Rd SW
Ste 106
Conyers, GA 30094
Phone (770) 761-7260
7813 Spivey Station Blvd
Ste 210
Lake Spivey, GA 30236
Phone (770) 507-0070
1100 Johnson Fy Rd NE
Ste 510
Sandy Springs, GA 30342
Phone (404) 419-1165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN197993 | GA | Yes |
Addresses
Primary practice location
7813 Spivey Station Blvd Ste 210
Lake Spivey, GA 30236-2900
Mailing address
1100 Johnson Ferry Rd
Ste 510
Sandy Springs, GA 30342-1743
Phone (404) 419-1165
Other practice location 1
4405 Lakeside Way
Newnan, GA 30265-5608
Phone (404) 285-2987
Other providers in Lake Spivey, GA
All providers in Lake Spivey, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.