VERONICA EBERHART AGACNP NPI 1073902094

NPI Information

  • NPI: 1073902094
  • Provider Name: VERONICA EBERHART, AGACNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1404 RIVER PL STE 501
    BRASELTON, GA
    ZIP 30517
  • Phone: (770) 534-2020

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NPI Details

Veronica Eberhart, AGACNP is a gerontology nurse practitioner in Braselton, GA with 12 years of experience. Veronica Eberhart, AGACNP NPI is 1073902094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

1404 RIVER PL STE 501
BRASELTON, GA
ZIP 30517-600
Phone: (770) 534-2020
Fax: (770) 534-8025

The NPI 1073902094 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 enumeration date for this NPI number is 1/14/2015 and was last updated on 11/9/2020.

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
1363LG0600XNurse PractitionerGerontologyRN180727GEORGIAYes

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: 11/21/2025

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