Active NPI
Emily Denise Huffman, FNP-C
- Family Nurse Practitioner
- Gainesville, GA
National Provider Identifier
1801278486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN170009
- Practice address
- 725 Jesse Jewell Pkwy SE
Gainesville, GA 30501 - Phone
- (770) 534-0110
- Fax
- (770) 534-2555
- NPI assigned
- Jun 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN170009 | GA | Primary |
Addresses
Primary practice location
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03111123 | Other | GA | AMERIGROUP |
| 003162060E | Medicaid | GA | |
| 1137849 | Other | GA | WELLCARE |
| 003162060A | Medicaid | GA |
Other names 1
- Emily Denise Phagan
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)
- Enrolled
Interoperability endpoints
- emily.huffman@longstreetclinic.gadirect.net
- emily.huffman.1@8348.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1801278486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305030658",
"telephone_number": "770-718-1122",
"fax_number": "770-535-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "30501",
"telephone_number": "770-534-0110",
"fax_number": "770-534-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFMAN",
"first_name": "EMILY",
"middle_name": "DENISE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN170009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "03111123",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003162060E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1137849",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003162060A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "PHAGAN",
"middle_name": "DENISE",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.