Individual provider Active NPI

Alicia Malinda Darby-Bishop

  • Family Nurse Practitioner
  • Riverdale, GA
National Provider Identifier
1760092134
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN234896 Issued in GA
Practice address
483 Upper Riverdale Rd SW Ste F
Riverdale, GA 30274-2579
Phone
(470) 895-0610
Fax
(706) 666-1325
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 RN234896 GA Primary

Addresses

Primary practice location

483 Upper Riverdale Rd SW Ste F
Riverdale, GA 30274-2579

Mailing address

4700 Nelson Brogdon Blvd Ste 220
Buford, GA 30518-5401
Phone (770) 904-9014

Other practice location 1

4700 Nelson Brogdon Blvd Ste 220
Buford, GA 30518-5401
Phone (770) 904-9014

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
I20210806000221 GA Practitioner - Nurse Practitioner 4789088139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenerative Joint Clinics LLCGroup PAC ID 8022410687, 4 clinicians

Practice addresses (Care Compare)

483 Upper Riverdale Rd SW
Suite F
Riverdale, GA 30274-2579
Phone (470) 895-0610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN234896GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Joint Clinics LLC CurrentSince Nov 28, 2022 Accepting new patients
Centennial Joint Care Inc CurrentSince Feb 27, 2024 Accepting new patients
Cobb Regenerative & Joint Clinic LLC CurrentSince Jun 26, 2021 Accepting new patients

Locations

1235 Friendship Rd
Ste 115
Braselton, GA 30517
Phone 7706793090 ext. 101

4700 Nelson Brogdon Blvd
Ste 210
Buford, GA 30518
Phone (470) 412-5455

4700 Nelson Brogdon Blvd
Ste 220
Buford, GA 30518
Phone (770) 904-9014

1050 Shiloh Rd NW
Ste 305
Kennesaw, GA 30144
Phone (770) 485-8298

2790 Sandy Plains Rd
Ste 102
Marietta, GA 30066
Phone (770) 485-8298

483 Upper Riverdale Rd SW
Ste F
Riverdale, GA 30274
Phone (470) 895-0610

2366 Lenora Church Rd
Snellville, GA 30078
Phone (470) 575-4040

Organizations & group practices 3

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1760092134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 NELSON BROGDON BLVD STE 220",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185401",
            "telephone_number": "770-904-9014",
            "fax_number": "770-904-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 UPPER RIVERDALE RD SW STE F",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742579",
            "telephone_number": "470-895-0610",
            "fax_number": "706-666-1325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Nelson Brogdon Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305185401",
            "country_code": "US",
            "telephone_number": "770-904-9014",
            "fax_number": "770-904-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARBY-BISHOP",
        "first_name": "ALICIA",
        "middle_name": "MALINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN234896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.