Individual provider Active NPI

Marla Fleming, APRN, CNSPMH-BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Roswell, GA
National Provider Identifier
1881010122
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN142299 Issued in GA
Practice address
11755 Pointe PL
Suite a-1
Roswell, GA 30076-4656
Phone
(770) 677-1264
Fax
(770) 667-2238
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN142299 GA Primary

Addresses

Primary practice location

11755 Pointe PL
Suite a-1
Roswell, GA 30076-4656

Mailing address

11755 Pointe PL
Suite a-1
Roswell, GA 30076-4656
Phone (770) 677-1264

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
I20160826000807 GA Practitioner - Nurse Practitioner 6507151750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psych Atlanta, P.C.Group PAC ID 0042293573, 2 clinicians

Practice addresses (Care Compare)

11755 Pointe PL
Suite A1
Roswell, GA 30076-4657
Phone (770) 667-1264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN142299GAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Atlanta, P.C. CurrentSince May 10, 2016 Accepting new patients
Georgia Psychiatry & Sleep PastSince Jun 23, 2025 Accepting new patients
Psychological Source, Inc. Past Accepting new patients

Locations

1012 Coggins Pl NE
Marietta, GA 30060
Phone (770) 422-2009

108 Margaret Ave NE
Marietta, GA 30060
Phone (770) 352-9952

11755 Pointe Pl
Ste A1
Roswell, GA 30076
Phone (770) 667-1264

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.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1881010122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 POINTE PL",
            "address_2": "SUITE A-1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764656",
            "telephone_number": "770-677-1264",
            "fax_number": "770-667-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 POINTE PL",
            "address_2": "SUITE A-1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764656",
            "telephone_number": "770-677-1264",
            "fax_number": "770-667-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "MARLA",
        "credential": "APRN, CNSPMH-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN142299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.