363l00000x
NPI 1760856645 · Nursing Facility/Intermediate Care Facility · Atlanta, GA
363l00000x is a Nursing Facility/Intermediate Care Facility organization in Atlanta, GA (NPI 1760856645).
Provider details
- NPI number
- 1760856645
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Anetha Peterson, Nurse Practitioner(678) 464-9424
- License
- 363L00000X (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-11-16
- Last updated
- 2015-11-16
Frequently asked questions
- What is 363l00000x's NPI number?
- 363l00000x's National Provider Identifier (NPI) is 1760856645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 363l00000x?
- 363l00000x is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is 363l00000x located?
- 363l00000x's practice location on file with NPPES is 2171 Peachtree Rd Ne, Atlanta, GA 30309-6300.
- What is 363l00000x's phone number?
- The practice phone number listed in the NPPES registry for 363l00000x is (678) 464-9424.
- Who is the authorized official for 363l00000x?
- The authorized official listed on 363l00000x's NPPES record is Anetha Peterson, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 363l00000x's NPI active?
- Yes — 363l00000x's NPI (1760856645) is active in the NPPES registry as of the last update on 2015-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.