Active NPI
Evelyn R Morales, NP
- Women's Health Nurse Practitioner
- Decatur, GA
National Provider Identifier
1871502005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN087831
- Practice address
- 2675 N Decatur Rd Ste 301
Suite 301
Decatur, GA 30033-6132 - Phone
- (404) 294-0473
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN087831 | GA | Primary |
Addresses
Primary practice location
2675 N Decatur Rd Ste 301
Suite 301
Decatur, GA 30033-6132
Mailing address
410 Montevallo Dr
Atlanta, GA 30342-2322
Phone (404) 256-6535
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN087831 | GA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Surgical Professional Services LLC | Current | Accepting new patients | |
| The Southeast Permanente Medical Group | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Past | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
20 Glenlake Pkwy
Sandy Springs, GA 30328
Phone (770) 677-6247
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 and National Provider Directory roles.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1871502005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 MONTEVALLO DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303422322",
"telephone_number": "404-256-6535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 N DECATUR RD STE 301",
"address_2": "SUITE 301",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336132",
"telephone_number": "404-294-0473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "EVELYN",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN087831",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "20 Glenlake Pkwy",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303283473",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.