Individual provider Active NPI

Chinti X Bali, NP

  • Adult Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1952705956
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
052629 Issued in GA
Practice address
550 Peachtree Street NE
4-4269
Atlanta, GA 30808
Phone
(404) 686-2500
Fax
(404) 686-4479
NPI assigned
Oct 20, 2014
Last updated
Oct 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 052629 GA
Adult Health Nurse Practitioner 363LA2200X 052629 GA Primary

Addresses

Primary practice location

550 Peachtree Street NE
4-4269
Atlanta, GA 30808

Mailing address

550 Peachtree Street NE
Atlanta, GA 30808
Phone (404) 686-2500

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1952705956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE STREET NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30808",
            "telephone_number": "404-686-2500",
            "fax_number": "404-686-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE STREET NE",
            "address_2": "4-4269",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30808",
            "telephone_number": "404-686-2500",
            "fax_number": "404-686-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALI",
        "first_name": "CHINTI",
        "middle_name": "X",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "052629",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "052629",
            "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 Oct 20, 2014; 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.