Individual provider Active NPI

Andrrea Michelle Zellner, NP-C

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1770042228
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN130270 Issued in GA
Practice address
781 Spring St Ste 230
Macon, GA 31201-2185
Phone
(478) 633-1547
Fax
(478) 633-7929
NPI assigned
Mar 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 RN130270 GA Primary

Addresses

Primary practice location

781 Spring St Ste 230
Macon, GA 31201-2185

Mailing address

781 Spring St Ste 230
Macon, GA 31201-2185
Phone (478) 633-1547

Other names 1

  • Miss Andrrea Michelle Hall 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
I20190429002286 GA Practitioner - Nurse Practitioner 8123360807 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Health Solutions LLC CurrentSince Apr 1, 2019 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Mar 1, 2023 Accepting new patients

Locations

841 Mulberry St
Macon, GA 31201
Phone (478) 741-1192

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Interoperability endpoints

  • Direct secure messaging: azellner1094501@carolinashealthcaresystem.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1770042228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 SPRING ST STE 230",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012185",
            "telephone_number": "478-633-1547",
            "fax_number": "478-633-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 SPRING ST STE 230",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012185",
            "telephone_number": "478-633-1547",
            "fax_number": "478-633-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLNER",
        "first_name": "ANDRREA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN130270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRREA",
            "last_name": "HALL",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.