Active NPI
Natalia Berman, NP
- Family Nurse Practitioner
- Canton, GA
National Provider Identifier
1992280317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 229739
- Practice address
- 3785 Sixes Rd
Canton, GA 30114-7809 - Phone
- (770) 720-3466
- NPI assigned
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 229739 | GA | Primary |
Addresses
Primary practice location
3785 Sixes Rd
Canton, GA 30114-7809
Mailing address
3785 Sixes Rd
Canton, GA 30114-7809
Phone (770) 720-3466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F07181860 | Other | GA | NP-C |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220808003197 | GA | Practitioner - Nurse Practitioner | 5395127393 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rural Urgent Care LLC
Practice addresses (Care Compare)
1245 Noah Dr
Jasper, GA 30143-8721
Phone (706) 253-1954
1408 Tallahassee Hwy
Suite Z
Bainbridge, GA 39819-7900
Phone (229) 400-9033
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.37 of 100
- Quality
- 74
- Improvement activities
- 40
- Cost
- 72.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229739 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Calixto J Cornavaca Diaz MD LLC | Past | Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033
Organizations & group practices 22
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.
-
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
-
- Urgent Care Clinic/Center
- Hazlehurst, GA
- NPI 1093384497
-
- Urgent Care Clinic/Center
- Bainbridge, GA
- NPI 1376173906
-
- Urgent Care Clinic/Center
- Fitzgerald, GA
- NPI 1427662741
-
- Urgent Care Clinic/Center
- Valley, AL
- NPI 1003365123
-
- Urgent Care Clinic/Center
- Brewton, AL
- NPI 1013430214
-
- Rural Health Clinic/Center
- Monroeville, AL
- NPI 1053119206
-
- Rural Health Clinic/Center
- Andalusia, AL
- NPI 1154117984
-
- Urgent Care Clinic/Center
- Eufaula, AL
- NPI 1184173320
-
- Urgent Care Clinic/Center
- Live Oak, FL
- NPI 1215650718
-
- Rural Health Clinic/Center
- Alexander City, AL
- NPI 1336935162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1992280317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3785 SIXES RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301147809",
"telephone_number": "770-720-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3785 SIXES RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301147809",
"telephone_number": "770-720-3466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "NATALIA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "229739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP-C",
"identifier": "F07181860",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.