Individual provider Active NPI

April Davis Roshak, FNP

  • Family Nurse Practitioner
  • Peachtree City, GA
National Provider Identifier
1871038679
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 167249 Issued in GA
Practice address
106 Harbor Loop
Peachtree City, GA 30269-2103
Phone
(404) 884-0151
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN 167249 GA Primary

Addresses

Primary practice location

106 Harbor Loop
Peachtree City, GA 30269-2103

Mailing address

106 Harbor Loop
Peachtree City, GA 30269-2103
Phone (404) 884-0151

Other names 1

  • Miss April Davis Former name

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
I20220817000485 GA Practitioner - Nurse Practitioner 2466835996 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 167249GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miles Family Medicine, LLC CurrentSince Jun 19, 2022 Accepting new patients

Locations

1605 Highway 34 E
Ste A2
Newnan, GA 30265
Phone (770) 251-2000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1871038679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HARBOR LOOP",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692103",
            "telephone_number": "404-884-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HARBOR LOOP",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692103",
            "telephone_number": "404-884-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSHAK",
        "first_name": "APRIL",
        "middle_name": "DAVIS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN 167249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "DAVIS",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.