MADISON DEMETRY CPNP-AC
NPI 1851976716
Nurse Practitioner in Atlanta, GA

Q: What is Madison Demetry's NPI number?

The NPI number for Madison Demetry is 1851976716. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Q: What is Madison Demetry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Demetry was last updated on April 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 12, 2021

1405 CLIFTON RD NE, ATLANTA, GA 30322(770) 820-9231 Get Directions Write a Review

NPPES record last updated: April 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2023, Mar 12, 2021 (2 updates tracked since 2021).

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About Madison Demetry Cpnp-ac NPPES

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

MADISON DEMETRY CPNP-AC (NPI 1851976716) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (RN283413) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1851976716

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMADISON DEMETRYCredential: CPNP-AC

Location Address1405 CLIFTON RD NEAtlanta, GA 30322-1060

Mailing Address1405 Clifton Rd NeAtlanta, GA 30322-1060 · (770) 820-9231

Phone(770) 820-9231

Sole ProprietorYes

Enumeration DateMarch 12, 2021

Last NPPES UpdateApril 2, 20232 updates tracked since enumeration

NPPES CertifiedApril 2, 2023

✔ NPI 1851976716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN283413

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1405 CLIFTON RD NE, Atlanta, GA 30322

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Other Providers at the Same Location NPPES 20

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

CARRIE NG MD

Pediatrics (Pediatric Emergency Medicine)