Individual provider Active NPI

Kristin Corbin Oja, DNP, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1790199172
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216234 Issued in GA
Practice address
6085 Forrest Dr NE
300 B
Atlanta, GA 30328
Phone
(404) 847-9555
Fax
(404) 855-2885
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 RN216234 GA Primary

Addresses

Primary practice location

6085 Forrest Dr NE
300 B
Atlanta, GA 30328

Mailing address

1710 Bristol Dr NE
Atlanta, GA 30329-2536
Phone (404) 731-6868

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
I20210322000991 GA Order and Referring Only - Nurse Practitioner 3173930013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN216234GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Wellness Roswell Current Accepting new patients
Stat Wellness Peachtree City Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790199172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 BRISTOL DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292536",
            "telephone_number": "404-731-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6085 FORREST DR NE",
            "address_2": "300 B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-847-9555",
            "fax_number": "404-855-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJA",
        "first_name": "KRISTIN",
        "middle_name": "CORBIN",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.