Individual provider Active NPI

Cellandia G Bart- Teel, N.P.

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1881847754
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN306006 Issued in GA
Practice address
1150 Hammond Dr Ste 400
Atlanta, GA 30328-8617
Phone
(404) 233-4275
Fax
(404) 255-6532
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F335436-1 NY
Adult Health Clinical Nurse Specialist 364SA2200X 335436 NY
Nurse Practitioner 363L00000X RN306006 GA Primary

Addresses

Primary practice location

1150 Hammond Dr Ste 400
Atlanta, GA 30328-8617

Mailing address

1150 Hammond Dr Ste 400
Atlanta, GA 30328-8617
Phone (404) 234-2348

Other identifiers 1

IdentifierTypeStateIssuer
03116832MedicaidNY

Other names 1

  • Cellandia G Bart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN306006GAMDNurse Practitioner
F335436-1NYMDFamily Nurse Practitioner
335436NYMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Dec 1, 2015 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Dec 1, 2015 Accepting new patients
Northwell Health Current Accepting new patients
Polaris Spine & Neurosurgery Center PC Past Accepting new patients

Locations

5645 Main St
#300
Flushing, NY 11355
Phone (718) 303-3720

5620 Main St
Flushing, NY 11355
Phone (718) 670-1837

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

Interoperability endpoints

  • Direct secure messaging: cellandiabart@northwell.allscriptsdirect.net

Organizations & group practices 4

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1881847754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 HAMMOND DR STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303288617",
            "telephone_number": "404-234-2348",
            "fax_number": "404-255-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HAMMOND DR STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303288617",
            "telephone_number": "404-233-4275",
            "fax_number": "404-255-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BART- TEEL",
        "first_name": "CELLANDIA",
        "middle_name": "G",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335436-1",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NY",
            "license": "335436",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN306006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03116832",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELLANDIA",
            "last_name": "BART",
            "middle_name": "G",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.