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MS. MONIQUE DIANE PETTEYS FNP-C NPI 1902249675


NPI Information

NPI: 1902249675
Provider Name: MS. MONIQUE DIANE PETTEYS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
189 BO JAMES ST STE 105
CLAYTON, GA
ZIP 30525
Phone: (706) 782-0016
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MS. Monique Diane Petteys, FNP-C is a family nurse practitioner in Clayton, GA with 12 years of experience. MS. Monique Diane Petteys, FNP-C NPI is 1902249675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

189 BO JAMES ST STE 105
CLAYTON, GA
ZIP 30525-199
Phone: (706) 782-0016
Fax: (706) 782-0180

The NPI 1902249675 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 4/12/2013 and was last updated on 8/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN184994GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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