Individual provider Active NPI

John M. Gentry, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1932351061
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN089319 Issued in GA
Practice address
141 Piedmont Ave NE Ste D
Atlanta, GA 30303-2417
Phone
(404) 413-1930
Fax
(404) 413-1953
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN089319 GA Primary

Addresses

Primary practice location

141 Piedmont Ave NE Ste D
Atlanta, GA 30303-2417

Mailing address

141 Piedmont Ave NE Ste D
Atlanta, GA 30303-2417
Phone (404) 413-1930

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
I20130520000056 GA Practitioner - Nurse Practitioner 9638316276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Mahaveer Vakharia MD PCGroup PAC ID 0648334441, 4 clinicians

Practice addresses (Care Compare)

4171 Marietta St
Suite 200
Powder Springs, GA 30127-2696
Phone (770) 943-8701

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mahaveer Vakharia MD PC CurrentSince Aug 1, 2017 Accepting new patients
West Cobb Medical Associates, LLC Past Accepting new patients

Locations

4171 Marietta St
Ste 300A
Powder Springs, GA 30127
Phone (678) 549-2323

4171 Marietta St
Ste 200
Powder Springs, GA 30127
Phone (770) 222-8702

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5606/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.gentry.p51@direct.tenet.nextgenshare.com

Organizations & group practices 2

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1932351061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PIEDMONT AVE NE STE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032417",
            "telephone_number": "404-413-1930",
            "fax_number": "404-413-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PIEDMONT AVE NE STE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032417",
            "telephone_number": "404-413-1930",
            "fax_number": "404-413-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "JOHN",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN089319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.