Rose Michelle Delva

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN163685 Issued in GA

Practice address

125 Riverlook ML
Fayetteville, GA 30215-4940

Phone

(404) 600-3300

Fax

(678) 817-4898

NPI assigned

Apr 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment NPD
• Geps Physician Group of Georgia PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1881064467
  NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• The Lung Centers of Georgia

  • Specialist
  • Atlanta, GA
  • NPI 1598051054
  NPD (past)

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1831586791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RIVERLOOK ML",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154940",
            "telephone_number": "404-600-3300",
            "fax_number": "678-817-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RIVERLOOK ML",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154940",
            "telephone_number": "404-600-3300",
            "fax_number": "678-817-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVA",
        "first_name": "ROSE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN163685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn T Dean, M.D.
• Laura Dean, PA
• Deshia Dees, SLP
• Taheisha Rena Deese, NP
• Anthony G Deluke, DDS
• Dasia Denham, RBT
• Krystal Gail Dennis, NP
• Nina Uzoamaka Chukwura Dennis, PHARMD
• Dental One Associates (Fayetteville) LLC
• Bijal Jyotindra Desai

• Family Nurse Practitioner in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.