The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1386181089 |
NPI Entity Type | Individual |
Provider Name | MS. FNP-C Tina M. Grall |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Certification Date | September 30, 2009 |
Provider Location Address | 1045 Southcrest Dr, Suite 200, Stockbridge, GA, US |
Provider Mailing Address | 1835 Savoy Dr, Suite 300, Atlanta, GA, US, 303411072 |
Gender | Female |
Is Sole Proprietor? | No |
Taxonomy Code | |
Taxonomy Name | Nurse Practitioner |
Classification | |
Group | |
License No. | RN060199 |
License State | GA |
Description | (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
RN060199 | GA | No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
003185368A | GA | MEDICAID | 05 |
003185368B | GA | MEDICAID | 05 |
202I504936 | GA | MEDICARE PTAN | 01 |
Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
---|---|---|---|---|---|---|
DIRECT | [email protected] | Direct Address | DIRECT | OTHER | No | 1045 Southcrest Dr, Suite 200, Stockbridge, GA, US |
DIRECT | [email protected] | Direct Address | DIRECT | OTHER | No | 1045 Southcrest Dr, Suite 200, Stockbridge, GA, US |
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