Individual provider Active NPI

Nancy Bellinger, NP

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1770902124
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN238548 Issued in GA
Practice address
360 Racetrack Rd
McDonough, GA 30252-1022
Phone
(470) 557-4399
Fax
(478) 910-1053
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 850946 CA
Licensed Vocational Nurse 164X00000X 254771 CA
Family Nurse Practitioner 363LF0000X RN238548 GA Primary

Addresses

Primary practice location

360 Racetrack Rd
McDonough, GA 30252-1022

Mailing address

6031 Fairburn Rd
Douglasville, GA 30134-2307
Phone (770) 942-9214

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
I20220418001382 GA Practitioner - Nurse Practitioner 2062809270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7145 Cavender Dr SW
Atlanta, GA 30331-9423
Phone (404) 902-0821

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
850946CAMDRegistered Nurse
254771CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Weight Loss and Vitality Center LLC CurrentSince Jan 1, 2024 Accepting new patients
Aylo Health, LLC CurrentSince May 30, 2022 Accepting new patients
Optimum Primary Care LLC CurrentSince Nov 25, 2024 Accepting new patients
Aylo Health, LLC CurrentSince May 30, 2022 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

2200 Highway 155 N
Ste 100
McDonough, GA 30252
Phone (678) 490-0341

360 Racetrack Rd
McDonough, GA 30252
Phone (404) 704-6283

1240 Eagles Landing Pkwy
Ste 110
Stockbridge, GA 30281
Phone (770) 389-3855

145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1770902124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 FAIRBURN RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342307",
            "telephone_number": "770-942-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 RACETRACK RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521022",
            "telephone_number": "470-557-4399",
            "fax_number": "478-910-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLINGER",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "850946",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "254771",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN238548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.