Active NPI
Cellandia G Bart- Teel, N.P.
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1881847754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN306006
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03116832 | Medicaid | NY |
Other names 1
- Cellandia G Bart
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN306006 | GA | MD | Nurse Practitioner |
| F335436-1 | NY | MD | Family Nurse Practitioner |
| 335436 | NY | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | 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
- 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.
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Multi-Specialty Clinic/Center
- Flushing, NY
- NPI 1740792233
-
- Rehabilitation Hospital Unit
- Glen Cove, NY
- NPI 1619336260
-
- Neurological Surgery Physician
- Atlanta, GA
- NPI 1326120866
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.