Angelica Maria Forero, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN307378 Issued in GA

Practice address

5127 Jimmy Carter Blvd Ste 205
Norcross, GA 30093-1619

Phone

(404) 688-1350

NPI assigned

Mar 17, 2023

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angelica.forero.1@6806.direct.athenahealth.com

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.

• Saint Joseph'S Mercy Care Services Inc

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1588663421
  Medicare reassignment NPD
• Southside Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1235123993
  Medicare reassignment NPD
• Saint Joseph'S Mercy Care Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1285277608
  NPD
• Saint Joseph'S Mercy Care Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1689921306
  NPD
• Saint Joseph'S Mercy Care Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1821239708
  NPD
• Southside Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Jonesboro, GA
  • NPI 1821981234
  NPD
• Southside Medical Center, Inc.

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1174641658
  NPD (past)

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1932800737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 JIMMY CARTER BLVD STE 205",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931619",
            "telephone_number": "404-688-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 JIMMY CARTER BLVD STE 205",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931619",
            "telephone_number": "404-688-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORERO",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN307378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariangel L Flynt, LPC
• Alyssa Michelle Fobb
• Focal Point Optical
• Megan Ciandra Ford
• Shakirah Forde, LCSW
• Nino Renzo Renzo Fornasini, MD
• Rakeisha Nichole Forte, NP-C
• Jean M Fortgang, NP
• Heather Nicole Forward, LCSW
• Deshun Foster, BCBA

• Family Nurse Practitioner in Norcross, GA
• Providers in Norcross, 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 Jun 1, 2023; 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.

Verify at the official NPI Registry.