Active NPI
Bernard Gitau Muthoni, NP-C
- Nurse Practitioner
- Cartersville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN198800
- 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, 2020
- Sex
- Male
- 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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.98 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll County Nephrology LLC | Current | Accepting new patients | |
| Carroll County Nephrology PC | Current | 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
- 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.
-
- Nephrology Physician
- Carrollton, GA
- NPI 1558403113
-
- Nephrology Physician
- Carrollton, GA
- NPI 1285814988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.