Active NPI
Zenebe G Woldegebriel, NP
- Nurse Practitioner
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN261091
- Practice address
- 775 Poplar Rd Ste 160a
Newnan, GA 30265-8302 - Phone
- (770) 400-4630
- NPI assigned
- Jun 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN261091 | GA | |
| Nurse Practitioner | 363L00000X | RN261091 | GA | Primary |
Addresses
Primary practice location
775 Poplar Rd Ste 160a
Newnan, GA 30265-8302
Mailing address
500 Gallery PL
Peachtree City, GA 30269
Phone (858) 829-5468
Other practice location 1
275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740
Phone (404) 350-0009
Other practice location 2
1968 Peachtree Rd
Atlanta, GA 30309
Phone (404) 605-5000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Mercer University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-4720
775 Poplar Rd
Newnan, GA 30265-8300
Hospital & facility affiliations
- Piedmont Newnan Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1962072710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GALLERY PL",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "30269",
"telephone_number": "858-829-5468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 POPLAR RD STE 160A",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658302",
"telephone_number": "770-400-4630"
}
],
"practiceLocations": [
{
"address_1": "275 Collier Rd NW Ste 300",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091740",
"country_code": "US",
"telephone_number": "404-350-0009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1968 Peachtree Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30309",
"country_code": "US",
"telephone_number": "404-605-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLDEGEBRIEL",
"first_name": "ZENEBE",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-24",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN261091",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN261091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.