Individual provider Active NPI

Eleni Marie Cleveland, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1932966231
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN283412 Issued in GA
Practice address
1800 Howell Mill Rd NW Ste 450
Atlanta, GA 30318-2508
Phone
(404) 355-4393
Fax
(404) 609-7655
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 RN283412 GA Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW Ste 450
Atlanta, GA 30318-2508

Mailing address

1800 Howell Mill Rd NW Ste 450
Atlanta, GA 30318-2508
Phone (043) 551-3934

Other names 1

  • Eleni Marie Marvres Former name

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
I20240312001100 GA Practitioner - Nurse Practitioner 1951747047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Diabetes Associates CurrentSince Apr 1, 2024 Accepting new patients
Van Meter Pediatric Endocrinology CurrentSince Mar 12, 2024 Accepting new patients

Locations

1800 Howell Mill Rd NW
Ste 450
Atlanta, GA 30318
Phone (404) 355-4393

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1932966231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182508",
            "telephone_number": "043-551-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182508",
            "telephone_number": "404-355-4393",
            "fax_number": "404-609-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "ELENI",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN283412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENI",
            "last_name": "MARVRES",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.