Individual provider Active NPI

Monique Pamphile, L.AC

  • Acupuncturist
  • Atlanta, GA
National Provider Identifier
1902253750
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
385 Issued in GA
Practice address
550 Pharr Rd NE
Suite 410
Atlanta, GA 30305-3428
Phone
(770) 568-4216
NPI assigned
May 23, 2016
Last updated
May 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 385 GA Primary

Addresses

Primary practice location

550 Pharr Rd NE
Suite 410
Atlanta, GA 30305-3428

Mailing address

5219 Arbor Gates Dr NE
Atlanta, GA 30324-5618
Phone (404) 384-0679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
385GAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1902253750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 ARBOR GATES DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245618",
            "telephone_number": "404-384-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PHARR RD NE",
            "address_2": "SUITE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053428",
            "telephone_number": "770-568-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPHILE",
        "first_name": "MONIQUE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.