Individual provider Active NPI

Bernard Gitau Muthoni, NP-C

  • Nurse Practitioner
  • Cartersville, GA
National Provider Identifier
1770118598
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN198800 Issued in GA
Practice address
150 Gentilly Blvd
Cartersville, GA 30120-8522
Phone
(470) 490-6510
Fax
(770) 276-7202
NPI assigned
Mar 12, 2020
Last updated
Nov 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 RN198800 GA Primary

Addresses

Primary practice location

150 Gentilly Blvd
Cartersville, GA 30120-8522

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bernard.muthoni.1@1498.direct.athenahealth.com

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
I20200616003434 GA Practitioner - Nurse Practitioner 6305268509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.98 of 100Reported as group
Quality
70.51
Promoting interoperability
99
Improvement activities
20
Cost
72.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll County Nephrology LLC CurrentSince Aug 1, 2022 Accepting new patients
Carroll County Nephrology PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

108 Redding Dr
Bremen, GA 30110
Phone (770) 537-0222

130 Parkwood Cir
Carrollton, GA 30117
Phone (470) 729-0755

157 Clinic Ave
Ste 102
Carrollton, GA 30117
Phone (770) 832-2202

157 Clinic Ave
Ste 203
Carrollton, GA 30117
Phone (770) 832-0429

195 Parkwood Cir
Carrollton, GA 30117
Phone (404) 876-9636

3138 Golf Ridge Blvd
Douglasville, GA 30135
Phone (678) 903-4470

4645 Timber Ridge Dr
Ste 140
Douglasville, GA 30135
Phone (678) 838-3233

130 Prospecter Dr
Villa Rica, GA 30180
Phone (770) 459-7135

403 Permian Way
Ste B
Villa Rica, GA 30180
Phone (678) 941-1258

Interoperability endpoints

  • Direct secure messaging: bmuthoni34103@direct.acumenmd.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1770118598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "762-235-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GENTILLY BLVD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208522",
            "telephone_number": "470-490-6510",
            "fax_number": "770-276-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHONI",
        "first_name": "BERNARD",
        "middle_name": "GITAU",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN198800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bernard.muthoni.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "150 Gentilly Blvd",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301208522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.