Active NPI
Joylayne Malone Gilli, APRN, FNP-C
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1740749449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN282171
- Practice address
- 960 Johnson Fy Rd NE Ste 130
Atlanta, GA 30342-1601 - Phone
- (404) 300-2990
- Fax
- (404) 300-2986
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 25551 | TN | |
| Nurse Practitioner | 363L00000X | RN282171 | GA | Primary |
Addresses
Primary practice location
960 Johnson Fy Rd NE Ste 130
Atlanta, GA 30342-1601
Mailing address
960 Johnson Fy Rd NE Ste 130
Atlanta, GA 30342-1601
Phone (404) 300-2990
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN282171 | GA | MD | Nurse Practitioner |
| 25551 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Surgical Professional Services LLC | Current | Accepting new patients |
Locations
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
960 Johnson Fy Rd NE
Ste 130
Sandy Springs, GA 30342
Phone (404) 300-2990
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Organizations & group practices 1
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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1740749449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 JOHNSON FY RD NE STE 130",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421601",
"telephone_number": "404-300-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 JOHNSON FY RD NE STE 130",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421601",
"telephone_number": "404-300-2990",
"fax_number": "404-300-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLI",
"first_name": "JOYLAYNE",
"middle_name": "MALONE",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2022-06-28",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "25551",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN282171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.