Georgia Warren Agrait, ARNP
Individual provider Active NPI Nurse Practitioner · Century, FL
NPI 1962412262 · NPPES record last updated May 2, 2018
Key facts
- NPI
- 1962412262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- ARNP1773502 (FL)
- Practice address
- 8401 N Century Blvd
Century, FL 32535 - Phone
- (850) 256-5314
- Fax
- (850) 256-4433
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080415000719 | FL | Practitioner - Nurse Practitioner | 7517045685 | Practice locations: Milton, FL; Century, FL |
| I20210728003656 | GA | Practitioner - Nurse Practitioner | 7517045685 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Care Leaders LLC | Nurse Practitioner | Current |
Accepting new patients |
| Jay Hospital, Inc. | Past | Accepting new patients | |
| Jay Hospital Inc | Past | Accepting new patients |
Locations
925 North Point Pkwy
Ste 425
Alpharetta, GA 30005
Phone (678) 593-3332
156 Pine Knoll Dr
Carrollton, GA 30117
Phone (770) 832-8243
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1773502 | FL | Yes |
Addresses
Primary practice location
8401 N Century Blvd
Century, FL 32535
Mailing address
PO Box 399
Century, FL 32535-0399
Phone (850) 256-5314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307632600 | Medicaid | FL |
Other providers in Century, FL
- Christian G Bachman
- Bascom Clarence Raney
- Julie Lynn Booth-Moran
- Mark Capps
- Century Care Center Investors Inc
All providers in Century, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.