Individual provider Active NPI

Adrian Nichole Moll, RN

  • Registered Nurse
  • Atlanta, GA
National Provider Identifier
1982434197
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
233361 Issued in GA
Practice address
50 Hurt PLZ SE Ste 1650
Atlanta, GA 30303-2946
Phone
(478) 696-3534
Fax
(478) 451-0224
NPI assigned
Aug 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 233361 GA Primary

Addresses

Primary practice location

50 Hurt PLZ SE Ste 1650
Atlanta, GA 30303-2946

Mailing address

50 Hurt PLZ SE Ste 1650
Atlanta, GA 30303-2946
Phone (478) 696-3534

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
233361GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Track 360 CurrentSince Aug 4, 2024 Accepting new patients
Primecare Home Care Services, Inc. PastSince Aug 4, 2024 Accepting new patients

Locations

50 Hurt Plz SE
Ste 1650
Atlanta, GA 30303
Phone (478) 456-4280

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.

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1982434197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HURT PLZ SE STE 1650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032946",
            "telephone_number": "478-696-3534",
            "fax_number": "478-451-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HURT PLZ SE STE 1650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032946",
            "telephone_number": "478-696-3534",
            "fax_number": "478-451-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLL",
        "first_name": "ADRIAN",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "233361",
            "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 Aug 2, 2024; 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.