Individual provider Active NPI

Nichelle Warren, MD

  • Ophthalmology Physician
  • Atlanta, GA
National Provider Identifier
1760869051
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
82897 Issued in GA
Practice address
1100 Johnson Fy Rd NE Ste 108
Atlanta, GA 30342-1733
Phone
(404) 531-9988
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 82897 GA Primary

Addresses

Primary practice location

1100 Johnson Fy Rd NE Ste 108
Atlanta, GA 30342-1733

Mailing address

1100 Johnson Ferry Rd Ste 108
Atlanta, GA 30342-1733
Phone (404) 531-9988

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190912003456 GA Practitioner - Ophthalmology 6800170184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

550 Peachtree St NE
Suite 1500
Atlanta, GA 30308-2248
Phone (404) 897-6810

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene B. Gabianelli, MD & Assoc. LLC Ophthalmology CurrentSince Jul 14, 2020 Accepting new patients
Emory Medical Care Foundation Inc Ophthalmology CurrentSince Jul 5, 2019 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 5, 2019 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
Eugene B Gabianelli MD & Assoc LLC Ophthalmology CurrentSince Jul 14, 2020 Accepting new patients
The Emory Clinic Inc CurrentSince Jul 5, 2019 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

550 Peachtree St NE
Ste 1500
Atlanta, GA 30308
Phone (404) 897-6710

290 Merchants Sq
Ste I
Dallas, GA 30132
Phone (770) 445-8885

200 E Ponce de Leon Ave
Ste 200
Decatur, GA 30030
Phone (404) 298-5557

10080 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (404) 897-6810

1100 Johnson Fy Rd NE
Ste 108
Sandy Springs, GA 30342
Phone (404) 531-9988

1100 Johnson Fy Rd NE
Ste 130
Sandy Springs, GA 30342
Phone (404) 531-9988

1100 Johnson Fy Rd NE
Ste 100
Sandy Springs, GA 30342
Phone (404) 531-9988

1100 Johnson Ferry Rd
Ste 105
Sandy Springs, GA 30342
Phone (404) 531-9988

500 Ross St
#15404
Pittsburgh, PA 15262

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.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1760869051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421733",
            "telephone_number": "404-531-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FY RD NE STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421733",
            "telephone_number": "404-531-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "NICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "82897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.