Individual provider Active NPI

Serena Nichole Pascal, NP

  • Women's Health Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1992352728
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN321702 Issued in GA
Practice address
574 Church St NE
Marietta, GA 30060-1358
Phone
(770) 427-0285
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421397 NY
Women's Health Nurse Practitioner 363LW0102X RN321702 GA Primary

Addresses

Primary practice location

574 Church St NE
Marietta, GA 30060-1358

Mailing address

4867 Golden Finch LN SW
Powder Springs, GA 30127-4003

Other names 1

  • Ms. Serena Nichole Catnott Former name

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
I20240528003014 GA Practitioner - Nurse Practitioner 1658713227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

574 Church St NE
Marietta, GA 30060-1358
Phone (770) 427-0285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN321702GAMDWomen's Health Nurse Practitioner
421397NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Atlanta, LLC CurrentSince Mar 2, 2024 Accepting new patients
Florida Woman Care, LLC CurrentSince Aug 1, 2024 Accepting new patients
Pediatrix Medical Group of Georgia, P.C. Past Accepting new patients
Womencare PA Past Accepting new patients

Locations

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1700 Hospital South Dr
Ste 301
Austell, GA 30106
Phone (770) 819-9211

6084 Professional Pkwy
Ste B
Douglasville, GA 30134
Phone (678) 838-4443

55 Whitcher St NE
Ste 430
Marietta, GA 30060
Phone (770) 819-9211

574 Church St NE
Marietta, GA 30060
Phone (770) 427-0285

980 Johnson Fy Rd NE
Ste 720
Sandy Springs, GA 30342
Phone (404) 252-3898

Interoperability endpoints

  • Direct secure messaging: serena.pascal.1@5518.direct.athenahealth.com
  • Direct secure messaging: serena.pascalwhnp.p64@direct.mednax.nextgenshare.com
  • Direct secure messaging: serena.pascalwhnp.p40@direct.mednax.nextgenshare.com

Organizations & group practices 4

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1992352728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 GOLDEN FINCH LN SW",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601358",
            "telephone_number": "770-427-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCAL",
        "first_name": "SERENA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421397",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN321702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERENA",
            "last_name": "CATNOTT",
            "middle_name": "NICHOLE",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.