Individual provider Active NPI

Nathan Snider, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1790497170
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN249156 Issued in GA
Practice address
2550 Heritage CT SE Ste 135
Atlanta, GA 30339-3528
Phone
(770) 644-0093
NPI assigned
Dec 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 RN249156 GA Primary

Addresses

Primary practice location

2550 Heritage CT SE Ste 135
Atlanta, GA 30339-3528

Mailing address

178 Wildflower TRL
Demorest, GA 30535-5558
Phone (706) 244-7202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN249156GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Staywellatl,LLC CurrentSince Dec 28, 2022 Accepting new patients

Locations

2550 Heritage Ct SE
Ste 135
Atlanta, GA 30339
Phone (770) 644-0093

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1790497170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 WILDFLOWER TRL",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305355558",
            "telephone_number": "706-244-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HERITAGE CT SE STE 135",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393528",
            "telephone_number": "770-644-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "NATHAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN249156",
            "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 Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.