Active NPI
Judy Marlena Page, NP
- Family Medicine Physician
- Covington, GA
National Provider Identifier
1871268797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RN223429
- Practice address
- 4186 Mill St NE
Covington, GA 30014-2559 - Phone
- (678) 625-8317
- NPI assigned
- Aug 12, 2021
- Last updated
- Aug 12, 2021
- 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 Medicine Physician | 207Q00000X | RN223429 | GA | Primary |
Addresses
Primary practice location
4186 Mill St NE
Covington, GA 30014-2559
Mailing address
5241 Gum Creek CT
Loganville, GA 30052-9205
Phone (404) 456-3847
Other names 1
- Miss Marli Page
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2121 Salem Rd SE
Conyers, GA 30013-1823
Phone (770) 679-4360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN223429 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Plus Urgent Care | Current | Accepting new patients | |
| Atlanta Plus Primary Care LLC | Past | Accepting new patients |
Locations
2121 Salem Rd SE
Conyers, GA 30013
Phone (470) 826-4051
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDAHBD
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Conyers, GA
- NPI 1588163638
-
- Internal Medicine Physician
- Conyers, GA
- NPI 1265144414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1871268797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5241 GUM CREEK CT",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300529205",
"telephone_number": "404-456-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4186 MILL ST NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142559",
"telephone_number": "678-625-8317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "JUDY",
"middle_name": "MARLENA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "RN223429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLI",
"last_name": "PAGE",
"prefix": "MISS",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.
- 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.