Clinica Agave Clinic

ActiveOrganizationNurse Practitioner
NPI issued: December 16, 2008

Quick Facts

NPI Number
1407091705
TypeOrganization
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LF0000X — Nurse Practitioner
Phone
(404) 447-3444
StateGA

NPI Validation Status: Verified

Valid 10-digit NPI number (1407091705)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (December 16, 2008)
Data source: CMS NPPES

Provider Overview

CLINICA AGAVE CLINIC is a Nurse Practitioner provider based in Forest Park, GA who has been registered with CMS since 2008. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1407091705
Provider TypeOrganization
StatusActive
Enumeration DateDecember 16, 2008

Practice Location

CityForest Park
StateGA
ZIP Code30297-4313
Phone(404) 447-3444

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LF0000X
License StateGA

Mailing Address

CityForest Park
StateGA
ZIP Code30297-4313
Phone(404) 447-3444
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1407091705 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1407091705for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1407091705 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

📊
224,221
Nurse Practitioner Providers in the US

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Guillermo Gomez, NP

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Sandra Martell, FNP-BC, DNP

📍 Forest Park, IL 60130-1854

Christine Johnson, APN

📍 Forest Park, IL 60130-2529

Antoinette Palomino, APRN

📍 Forest Park, GA 30297-1427

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Lori Lipkin, D.P.M

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Shalese Pugh, RD,LD

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People Also Ask

What is Clinica Agave Clinic's NPI number?
Clinica Agave Clinic's NPI number is 1407091705, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Clinica Agave Clinic's NPI currently active?
Yes, Clinica Agave Clinic's NPI status is Active as of the latest CMS NPPES database updates.
What does Clinica Agave Clinic specialize in?
Clinica Agave Clinic specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LF0000X.
Where does Clinica Agave Clinic practice?
Clinica Agave Clinic practices in Forest Park, GA 30297-4313.
When was Clinica Agave Clinic's NPI issued?
Clinica Agave Clinic's NPI was issued on December 16, 2008.
What is Clinica Agave Clinic's provider type?
Clinica Agave Clinic is registered as an Organization under CMS NPI Type 2.