Active NPI
Kiana Movahed Ohlson, NP
- Family Nurse Practitioner
- Brookhaven, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN236464
- Practice address
- 3369 Buford Hwy NE Ste 810
Brookhaven, GA 30329-3722 - Phone
- (404) 321-4692
- NPI assigned
- Dec 6, 2017
- 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 | RN236464 | GA | Primary |
Addresses
Primary practice location
3369 Buford Hwy NE Ste 810
Brookhaven, GA 30329-3722
Mailing address
3369 Buford Hwy NE Ste 810
Brookhaven, GA 30329-3722
Phone (404) 321-4692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN236464 | Other | GA | RN LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry NE
Atlanta, GA 30342-1606
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
1100 Johnson Ferry Rd
Suite 410
Atlanta, GA 30342-1709
Phone (404) 847-0664
Hospital & facility affiliations
- Northside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN236464 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Surgical Professional Services LLC | Current | Accepting new patients | |
| Breast Care Specialists | Current | Accepting new patients | |
| Cerium Family Practice and Urgent Medicine, LLC | Past | Accepting new patients |
Locations
975 Johnson Ferry Rd
Ste 5
Atlanta, GA 30342
Phone (404) 255-8086
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Organizations & group practices 4
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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1265412142
-
- Primary Care Clinic/Center
- Tucker, GA
- NPI 1780076026
-
- Primary Care Clinic/Center
- Tucker, GA
- NPI 1780280776
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1851806244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3369 BUFORD HWY NE STE 810",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303293722",
"telephone_number": "404-321-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3369 BUFORD HWY NE STE 810",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303293722",
"telephone_number": "404-321-4692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHLSON",
"first_name": "KIANA",
"middle_name": "MOVAHED",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-06",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN236464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN236464",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.