Individual provider Active NPI

Monique Altia Mentus-Cotrich, FNP

  • Family Nurse Practitioner
  • Sandy Springs, GA
National Provider Identifier
1740050491
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN278634 Issued in GA
Practice address
1120 Hope Rd
Sandy Springs, GA 30350-2957
Phone
(833) 633-4778
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN278634 GA Primary

Addresses

Primary practice location

1120 Hope Rd
Sandy Springs, GA 30350-2957

Mailing address

209 Don John TRL
Woodstock, GA 30189-3409
Phone (347) 291-6422

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

State licenses

LicenseStateTypeSpecialty
RN278634GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1740050491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 DON JOHN TRL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893409",
            "telephone_number": "347-291-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HOPE RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502957",
            "telephone_number": "833-633-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTUS-COTRICH",
        "first_name": "MONIQUE",
        "middle_name": "ALTIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN278634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.