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MS. RENICE ANDREA WASHINGTON MSN
NPI 1417936386
Nurse Practitioner - Family in Atlanta, GA

Active since January 10, 2006PECOS Enrolled
980 JOHNSON FERRY RD STE 910, ATLANTA, GA 30342(404) 303-3750(404) 252-4755 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 14, 2018, Mar 14, 2017 (2 updates tracked since 2017).

About Ms. Renice Andrea Washington Msn NPPES

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

MS. RENICE ANDREA WASHINGTON MSN (NPI 1417936386) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN102681) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417936386
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. RENICE ANDREA WASHINGTONCredential: MSN
Location Address980 JOHNSON FERRY RD STE 910Atlanta, GA 30342-1626
Mailing Address960 Johnson Ferry Rd, Ste 130Atlanta, GA 30342-1631 · (404) 300-2990 · Fax (404) 300-2986
Phone(404) 303-3750
Fax(404) 252-4755
Sole ProprietorNo
Enumeration DateJanuary 10, 2006
Last NPPES UpdateMarch 14, 20182 updates tracked since enumeration
✔ NPI 1417936386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN102681
980 JOHNSON FERRY RD STE 910, Atlanta, GA 30342
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Other Identifiers 1

Medicaid000937032CGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Renice Andrea Washington Msn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Renice Washington reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Atlanta Professional Services LLC
0.1 mi
Psychologist
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 783 clinicians in this Medicare group
NPI 1316959869 (855) 709-4535
Northside Surgical Professional Services LLC
0.1 mi
Surgery
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 487 clinicians in this Medicare group
NPI 1356630990 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMA K RAO MD
Obstetrics & Gynecology (Gynecology)
980 JOHNSON FERRY RD STE 910
ATLANTA, GA 30342
Fulton County (404) 303-3750
TARA MARTIN
Physician Assistant
980 JOHNSON FERRY RD STE 910
SANDY SPRINGS, GA 30342
Fulton County (404) 303-3157

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 Renice Washington's NPI number?

The NPI number for Renice Washington is 1417936386. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Renice Washington located?

Renice Washington practices at 980 Johnson Ferry Rd Ste 910, Atlanta, GA 30342. The listed phone number is (404) 303-3750.

What is Renice Washington's specialty?

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

Is Renice Washington enrolled in Medicare?

Yes. Renice Washington is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Renice Washington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renice Washington reassigns Medicare benefits to 2 organizations: North Atlanta Professional Services LLC (Atlanta, GA) and Northside Surgical Professional Services LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renice Washington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Renice Washington was last updated on March 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.