Active NPI
Sabiha K Kaiser, DNP
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1760195226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN296124
- Practice address
- 54 Peachtree Park Dr NE
Atlanta, GA 30309-1304 - Phone
- (404) 351-6041
- NPI assigned
- Dec 29, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN296124 | GA | Primary |
Addresses
Primary practice location
54 Peachtree Park Dr NE
Atlanta, GA 30309-1304
Mailing address
3223 Wooded Glen CT SE
Smyrna, GA 30082-2452
Phone (424) 327-1089
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | PCC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN296124 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Mso LLC | Current | Accepting new patients | |
| Hardy Renew Wellness,LLC | Current | Accepting new patients |
Locations
1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1952196164
-
- Internal Medicine Physician
- Marietta, GA
- NPI 1952914368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1760195226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 WOODED GLEN CT SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822452",
"telephone_number": "424-327-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 PEACHTREE PARK DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091304",
"telephone_number": "404-351-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "SABIHA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-29",
"last_updated": "2022-12-29",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN296124",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "PCC",
"affiliation": "N",
"address_1": "54 Peachtree Park Dr NE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303091304",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 29, 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.