Active NPI
Christine L Nell-Dybdahl, FNP
- Family Nurse Practitioner
- Braselton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN127904
- Practice address
- 1404 River PL Ste 501
Braselton, GA 30517-5600 - Phone
- (770) 848-7160
- NPI assigned
- Oct 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN127904 | GA | Primary |
Addresses
Primary practice location
1404 River PL Ste 501
Braselton, GA 30517-5600
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
3720 Davinci Ct
Ste 400
Norcross, GA 30092-7627
Phone (404) 786-2366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119156627A | Medicaid | GA |
Other names 1
- Christine L Nell
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cnelldybdahl163686@nghs.gadirect.net | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Emory University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1404 River PL
Suite 501
Braselton, GA 30517-5600
Phone (770) 534-2020
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880
Hospital & facility affiliations
- Grady Memorial Hospital
- Northeast Georgia Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.46 of 100
- Quality
- 85.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN127904 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Optum Care Services Company | Family | Current | Accepting new patients |
| Georgia Heart Institute LLC | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Northeast Georgia Heart Center | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1404 River Pl
Ste 501
Braselton, GA 30517
Phone (770) 212-3268
4445 S Lee St
Ste 200
Buford, GA 30518
Phone (770) 848-7160
200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991
3720 Davinci Ct
Ste 400
Peachtree Corners, GA 30092
Phone (770) 300-3502
10 Cadillac Dr
Ste 350
Brentwood, TN 37027
Phone (615) 523-5656
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1477976520
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1508812421
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1750476370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 RIVER PL STE 501",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305175600",
"telephone_number": "770-848-7160"
}
],
"practiceLocations": [
{
"address_1": "3720 Davinci Ct",
"address_2": "Ste 400",
"address_purpose": "LOCATION",
"city": "Norcross",
"state": "GA",
"postal_code": "300927627",
"country_code": "US",
"telephone_number": "404-786-2366",
"fax_number": "770-582-4189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELL-DYBDAHL",
"first_name": "CHRISTINE",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN127904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119156627A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cnelldybdahl163686@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1404 River Pl Ste 501",
"city": "Braselton",
"state": "GA",
"country_code": "US",
"postal_code": "305175600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "NELL",
"middle_name": "L",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.