Individual provider Active NPI

Theresa Lynn Catlin, NP, RN

  • Adult Health Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1861627028
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN172224 Issued in GA
Practice address
613 Roselane St NW
Marietta, GA 30060-6940
Phone
(770) 792-9800
NPI assigned
May 18, 2009
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X RN172224 GA
Adult Health Nurse Practitioner 363LA2200X RN172224 GA Primary

Addresses

Primary practice location

613 Roselane St NW
Marietta, GA 30060-6940

Mailing address

5 Bowen CT
Cartersville, GA 30120-2493
Phone (770) 633-0433

Other identifiers 1

IdentifierTypeStateIssuer
714989614CMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041115000376 GA Practitioner - Nurse Practitioner 0446222947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

229 S Belair Rd
Martinez, GA 30907-8834
Phone (706) 760-7607

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jun 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Assured Hospice Care, LLC PastSince Oct 1, 2022 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

613 Roselane St NW
Marietta, GA 30060
Phone (678) 872-2621

229 S Belair Rd
Martinez, GA 30907

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1861627028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BOWEN CT",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202493",
            "telephone_number": "770-633-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ROSELANE ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606940",
            "telephone_number": "770-792-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATLIN",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "credential": "NP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "GA",
            "license": "RN172224",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN172224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714989614C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.