Active NPI
Genevieve Slaughter, NP-C
- Family Nurse Practitioner
- Duluth, GA
National Provider Identifier
1972929172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN257222
- Practice address
- 3855 Pleasant Hill Rd Ste 100
Duluth, GA 30096-8030 - Phone
- (678) 312-7800
- Fax
- (678) 312-7818
- NPI assigned
- Mar 12, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024171578 | VA | |
| Family Nurse Practitioner | 363LF0000X | RN257222 | GA | Primary |
Addresses
Primary practice location
3855 Pleasant Hill Rd Ste 100
Duluth, GA 30096-8030
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006
Other names 1
- Genevieve Forges
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN257222 | GA | MD | Family Nurse Practitioner |
| 0024171578 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Current | Accepting new patients | |
| Gwinnett Pathology Assoc PC | Current | Accepting new patients |
Locations
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
Interoperability endpoints
- genevieve.slaughter.1@24114.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Psychologist
- Atlanta, GA
- NPI 1316959869
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceville, GA
- NPI 1104887330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1972929172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD",
"address_2": "SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-594-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 PLEASANT HILL RD STE 100",
"city": "DULUTH",
"state": "GA",
"postal_code": "300968030",
"telephone_number": "678-312-7800",
"fax_number": "678-312-7818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAUGHTER",
"first_name": "GENEVIEVE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024171578",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN257222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GENEVIEVE",
"last_name": "FORGES",
"credential": "NP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.