Individual provider Active NPI

Natalie A McCullar, APRN

  • Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1760966543
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3012684 Issued in KY
Practice address
874 W Lanier Avenue
Ste 220
Fayetteville, GA 30214
Phone
(678) 833-1444
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3012684 KY Primary

Addresses

Primary practice location

874 W Lanier Avenue
Ste 220
Fayetteville, GA 30214

Mailing address

100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 540-3338

Other practice location 1

225 Abraham Flexner Way Ste 305
Louisville, KY 40202-1891
Phone (502) 585-4321

Other names 1

  • Natalie A Joos Former name

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
I20220609000622 GA Practitioner - Nurse Practitioner 9436402013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truffles Vein Center LLCGroup PAC ID 1355594797, 14 clinicians

Practice addresses (Care Compare)

874 Lanier Ave W
Suite 220
Fayetteville, GA 30214-7659
Phone (678) 833-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truffles Vein of Central Georgia LLC CurrentSince Jan 6, 2026 Accepting new patients
University of Louisville Research Foundation Past Accepting new patients

Locations

874 Lanier Ave W
Ste 220
Fayetteville, GA 30214
Phone (678) 833-1444

96 Vinings Dr
McDonough, GA 30253
Phone (678) 833-1444

8 E Court Sq
Newnan, GA 30263
Phone (678) 833-1444

5041 Dallas Hwy
Ste 107
Powder Springs, GA 30127
Phone (678) 833-1444

Interoperability endpoints

  • Direct secure messaging: nataliejoos@normd.allscriptsdirect.net

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1760966543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST STE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021428",
            "telephone_number": "502-540-3338",
            "fax_number": "502-540-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 W LANIER AVENUE",
            "address_2": "STE 220",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "678-833-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Abraham Flexner Way Ste 305",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021891",
            "country_code": "US",
            "telephone_number": "502-585-4321",
            "fax_number": "502-566-6338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLAR",
        "first_name": "NATALIE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "JOOS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.