PATRICIA PROVEAUX FNP-BC
NPI 1053062760
Nurse Practitioner - Family in Roswell, GA

Active since January 13, 2022PECOS EnrolledAccepts Medicare Assignment
1360 UPPER HEMBREE RD STE 201, ROSWELL, GA 30076(770) 475-3361(770) 664-4431 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2026, Jan 13, 2022 (2 updates tracked since 2022).

About Patricia Proveaux Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA PROVEAUX FNP-BC (NPI 1053062760) is an individual family provider in Roswell, Georgia, licensed in Georgia (RN254746) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Wellstar North Fulton Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053062760
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePATRICIA PROVEAUXCredential: FNP-BC
Location Address1360 UPPER HEMBREE RD STE 201Roswell, GA 30076-1230
Mailing Address1360 Upper Hembree Rd Ste 201Roswell, GA 30076-1230 · (770) 475-3361 · Fax (770) 664-4431
Fax(770) 664-4431
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 13, 2022
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
NPI 1053062760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN254746
Also ListedRegistered NurseTaxonomy 163W00000X · License RN254746 (GA)
1360 UPPER HEMBREE RD STE 201, Roswell, GA 30076

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Patricia Proveaux Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870934185
PECOS Enrollment IDI20240516002539
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Proveaux's NPI number?

The NPI number for Patricia Proveaux is 1053062760. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Patricia Proveaux located?

Patricia Proveaux practices at 1360 Upper Hembree Rd Ste 201, Roswell, GA 30076. The listed phone number is (770) 475-3361.

What is Patricia Proveaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Patricia Proveaux enrolled in Medicare?

Yes. Patricia Proveaux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Patricia Proveaux accept?

Health plans from Alliant Health Plans, Inc. list Patricia Proveaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Patricia Proveaux affiliated with any hospitals?

According to CMS data, Patricia Proveaux is affiliated with Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Proveaux was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.