Organization Active NPI

Qoala Home Care, LLC

  • Family Nurse Practitioner
  • Buford, GA
National Provider Identifier
1942969753
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
QOALA HOME CARE, LLC
Practice address
2911 Hamilton Mill Rd Ste a
Buford, GA 30519-4112
Phone
(678) 926-1829
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Ms. Nelum Walker, APN, FNP-CNPI 1740579887
Title
Family Nurse Practitioner
Phone
(423) 432-8403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2911 Hamilton Mill Rd Ste a
Buford, GA 30519-4112

Mailing address

2725 Hamilton Mill Rd Ste 500 #221
Buford, GA 30519
Phone (423) 432-8403

Other names 1

  • QOALA Medical Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220127000197 GA Part B Supplier - Clinic/Group Practice 6709278682 Receives reassigned benefits from 2 practitioners
Practice locations: Buford, GA

National Provider Directory

National Provider Directory

Locations

2911 Hamilton Mill Rd
Ste A
Buford, GA 30519
Phone (678) 926-1829

3443 Ridge Rd
Buford, GA 30519

2725 Hamilton Mill Rd
Ste 500
Buford, GA 30519
Phone (678) 889-2593

2725 Hamilton Mill Rd
Ste 500221
Buford, GA 30519

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1942969753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 HAMILTON MILL RD STE 500 #221",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "30519",
            "telephone_number": "423-432-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 HAMILTON MILL RD STE A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194112",
            "telephone_number": "678-926-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QOALA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "NELUM",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "423-432-8403",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QOALA Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.