Individual provider Active NPI

Julia Vega

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1992180517
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
216789 Issued in GA
Practice address
5670 Peachtree Dunwoody Rd Ste 1100
Atlanta, GA 30342-4795
Phone
(404) 851-2300
Fax
(770) 205-5291
NPI assigned
Jul 24, 2015
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 216789 GA Primary

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd Ste 1100
Atlanta, GA 30342-4795

Mailing address

1100 Johnson Ferry Rd
Suite 510
Sandy Springs, GA 30342-1709
Phone (404) 419-1165

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914002348 GA Practitioner - Nurse Practitioner 7113234873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NSH Cancer Institute Professional Services a, LLCGroup PAC ID 1557514247, 41 clinicians

Practice addresses (Care Compare)

1505 Northside Blvd
Suite 4600
Cumming, GA 30041-7658
Phone (770) 205-5292

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
216789GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services a LLC CurrentSince Aug 1, 2015 Accepting new patients
NSH Cancer Institute Professional Services a LLC CurrentSince Aug 1, 2015 Accepting new patients

Locations

1498 Klondike Rd SW
Ste 106
Conyers, GA 30094
Phone (770) 761-7260

1505 Northside Blvd
Ste 4600
Cumming, GA 30041
Phone (770) 205-5292

1100 Johnson Fy Rd NE
Ste 510
Sandy Springs, GA 30342
Phone (404) 419-1165

5670 Peachtree Dunwoody Rd
Ste 1100
Sandy Springs, GA 30342
Phone (404) 851-2300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1992180517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD",
            "address_2": "SUITE 510",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-419-1165",
            "fax_number": "404-419-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424795",
            "telephone_number": "404-851-2300",
            "fax_number": "770-205-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "216789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.