Individual provider Active NPI

Nancy Adiri, RN

  • Registered Nurse
  • Atlanta, GA
National Provider Identifier
1871967208
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN138647 Issued in GA
Practice address
2001 Martin Luther King Jr Dr SW
Suite 409
Atlanta, GA 30310-1101
Phone
(404) 564-6486
Fax
(404) 564-6487
NPI assigned
Nov 23, 2015
Last updated
Nov 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN138647 GA Primary

Addresses

Primary practice location

2001 Martin Luther King Jr Dr SW
Suite 409
Atlanta, GA 30310-1101

Mailing address

2001 Martin Luther King Jr Dr SW
Suite 409
Atlanta, GA 30310-1101
Phone (404) 564-6486

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
I20151215002549 GA Practitioner - Certified Clinical Nurse Specialist (CNS) 4789985839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Community Integrated Health Systems IncGroup PAC ID 3971866278, 4 clinicians

Practice addresses (Care Compare)

5536 Old National Hwy
Suite 100
College Park, GA 30349-5181
Phone (404) 564-4796

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN138647GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Community Integrated Health Systems, Inc CurrentSince Mar 17, 2018 Accepting new patients

Locations

5536 Old National Hwy
Ste 100
College Park, GA 30349
Phone (404) 564-4796

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, 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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1871967208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 409",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101101",
            "telephone_number": "404-564-6486",
            "fax_number": "404-564-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 409",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101101",
            "telephone_number": "404-564-6486",
            "fax_number": "404-564-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIRI",
        "first_name": "NANCY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN138647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.