Victoria Novak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8845 Issued in GA

Practice address

5673 Peachtree Dunwoody Rd Ste 825
Atlanta, GA 30342-1771

Phone

(404) 255-5595

Fax

(404) 252-2780

NPI assigned

Jul 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Victoria Seng Former name

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

State licenses

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.

• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1871079301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 825",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421771",
            "telephone_number": "404-255-5595",
            "fax_number": "404-252-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 825",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421771",
            "telephone_number": "404-255-5595",
            "fax_number": "404-252-2780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Heritage Walk",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301883876",
            "country_code": "US",
            "telephone_number": "404-458-8859",
            "fax_number": "833-970-0984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "SENG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Eichel Nourparvar, MSN, NP-C
• Nouveau Medic LLC
• Nouveaux Possibilities, LLC
• Matthew James Novak, MD
• Melissa Marie Novak, MS.OTR/L
• Novamed Management Services LLC
• Novamed Management Services LLC
• Novelty Healthcare Services, LLC
• Jessica Noviani
• Jason Charles Novoselsky, D.C.

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.