Individual provider Active NPI

Pepa Koleva, FNP-C

  • Family Nurse Practitioner
  • Rome, GA
National Provider Identifier
1780269704
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP234317 Issued in GA
Practice address
16 E 12TH St SW
Rome, GA 30161-4720
Phone
(706) 295-6701
NPI assigned
Mar 11, 2021
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP234317 GA Primary

Addresses

Primary practice location

16 E 12TH St SW
Rome, GA 30161-4720

Mailing address

16 E 12TH St SW Ste 202
Rome, GA 30161-4720
Phone (706) 295-6701

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
I20251113001191 GA Practitioner - Nurse Practitioner 6204327679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd County Health DepartmentGroup PAC ID 6709872245, 3 clinicians

Practice addresses (Care Compare)

16 E 12TH St
Rome, GA 30161-4720
Phone (706) 802-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP234317GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd County Health Department CurrentSince Oct 16, 2025 Accepting new patients
Floyd County Health Department CurrentSince Oct 16, 2025 Accepting new patients
NW Georgia Specialty Care PastSince Nov 7, 2025 Accepting new patients

Locations

16 E 12th St SW
Rome, GA 30161
Phone (706) 295-6123

16 E 12th St SW
Ste 202
Rome, GA 30161
Phone (706) 295-6071

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, 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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1780269704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 12TH ST SW STE 202",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614720",
            "telephone_number": "706-295-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 12TH ST SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614720",
            "telephone_number": "706-295-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLEVA",
        "first_name": "PEPA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP234317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.