Active NPI
Kallayanee Techapatikul, FNP
- Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN204954
- Practice address
- 275 Collier Rd NW Ste 500
Atlanta, GA 30309-1711 - Phone
- (404) 605-2800
- NPI assigned
- Oct 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0612131 | GA | |
| Nurse Practitioner | 363L00000X | RN204954 | GA | Primary |
Addresses
Primary practice location
275 Collier Rd NW Ste 500
Atlanta, GA 30309-1711
Mailing address
1142 N Carter Rd
Decatur, GA 30030-4708
Phone (404) 228-1142
Other practice location 1
1142 N Carter Rd
Decatur, GA 30030-4708
Phone (404) 228-1142
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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1700
Phone (404) 355-6562
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0612131 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Current | Accepting new patients |
Locations
275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1780936310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 N CARTER RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300304708",
"telephone_number": "404-228-1142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091711",
"telephone_number": "404-605-2800"
}
],
"practiceLocations": [
{
"address_1": "1142 N Carter Rd",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300304708",
"country_code": "US",
"telephone_number": "404-228-1142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TECHAPATIKUL",
"first_name": "KALLAYANEE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "F0612131",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN204954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.