Roseline Makinde

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN162552 Issued in GA

Practice address

5808 State Bridge Rd
Johns Creek, GA 30097-6476

Phone

(678) 495-0162

NPI assigned

Dec 3, 2010

Last updated

Dec 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathways Center for Behavioral and Developmental GrowthGroup PAC ID 5193712073, 13 clinicians

Middle Flint Area Community Service BoardGroup PAC ID 3274426150, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Middle Flint Area Community Service Board

  dba Fort Valley Outpatient

  • Community/Behavioral Health Agency
  • Fort Valley, GA
  • NPI 1366521932
  Medicare reassignment Care Compare group NPD
• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Barnesville, GA
  • NPI 1124183082
  Medicare reassignment Care Compare group NPD
• One Stop Medical Services

  dba One Stop Medical Clinic

  • Family Medicine Physician
  • Douglasville, GA
  • NPI 1790098457
  Medicare reassignment NPD
• Vision Medical Consulting, P.C.

  dba Georgia Long Term Care and Consulting

  • Family Medicine Physician
  • Tucker, GA
  • NPI 1073562922
  Medicare reassignment NPD
• Healthdrive Medical Services, PC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1588469548

  GA

  Medicare reassignment
• Middle Flint Area Community Service Board

  dba Middle Flint Behavioral HealthCare

  • Public Health or Welfare Agency
  • Americus, GA
  • NPI 1093784720
  NPD
• Middle Flint Area Community Service Board

  dba Middle Flint Behavioral HealthCare

  • Community/Behavioral Health Agency
  • Americus, GA
  • NPI 1487822599
  NPD
• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Lagrange, GA
  • NPI 1588797799
  NPD
• Clark Robinson, M.D.,P.C.

  • Family Medicine Physician
  • Douglasville, GA
  • NPI 1750422242
  NPD (past)
• David E Kim MD PC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1194919381
  NPD (past)
• One Stop Medical Clinic

  • Clinic/Center
  • Douglasville, GA
  • NPI 1669796090
  NPD (past)
• Pathways Center for Behavioral & Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1407492846
  NPD (past)

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1902108491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CADILLAC DR",
            "address_2": "SUITE 250",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275087",
            "telephone_number": "615-425-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 STATE BRIDGE RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300976476",
            "telephone_number": "678-495-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKINDE",
        "first_name": "ROSELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN162552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelliah Mahachi
• Anuj Dinesh Mahajan, M.D.
• Heather Mainard, LPC
• Melinda K. Maitland, M.ED.
• Ronnie Mak, OD
• Lidiya Maksymyuk, NP
• Rakia Tynetta Malachi, LPC
• Christopher Mallare, M.S, P.T.
• Manamacare LLC
• Mang Plastic Surgery, LLC (Rejuve Aesthetic Surgery)

• Family Nurse Practitioner in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.