Anita Prince, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN218843 Issued in GA

Practice address

1003 Haley Woods LN
Lawrenceville, GA 30043-7331

Phone

(678) 619-7643

Fax

(678) 359-9966

NPI assigned

Jan 24, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25267/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.

• Angels Grace Hospice and Palliative Care LP

  • Community Based Hospice Care Agency
  • Riverdale, GA
  • NPI 1659183358
  NPD Authorized official
• Atl Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Cumming, GA
  • NPI 1487388419
  NPD Authorized official
• Quantum Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Buford, GA
  • NPI 1962391979
  NPD Authorized official

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1841880705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 CHRISTIANA DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435210",
            "telephone_number": "678-353-8528",
            "fax_number": "678-359-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 HALEY WOODS LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437331",
            "telephone_number": "678-619-7643",
            "fax_number": "678-359-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "ANITA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuri B. Pride, M.D.
• Amy Pridgen
• Primary Care Center of Georgia, Inc
• Primecare DME LLC
• Primecare Pharmacy LLC.
• Princewill Ehirim MD PC
• Priority Care Hospice & Palliative LLC
• Priority Housecalls LLC
• Priorityhealthcarellc
• Prism Distributions

• Family Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, 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 Nov 7, 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.