Individual provider

Maria Mogollon, APRN, NP-C

Family Nurse Practitioner Medicare enrolled

Maria Mogollon, APRN, NP-C is a Family Nurse Practitioner in Atlanta, GA, registered under NPI 1629676614.

Getting there

The practice address on file is 1055 HOWELL MILL RD NW, Atlanta, GA 30318. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1055 HOWELL MILL RD NW, Atlanta, GA 30318 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
71016115A IN Family Nurse Practitioner
37249 TN Family Nurse Practitioner
GAA-NP002932 GA Family Nurse Practitioner
5021473 NC Family Nurse Practitioner
4034123 KY Family Nurse Practitioner
1160135 TX Family Nurse Practitioner
29835 SC Family Nurse Practitioner
AP61615302 WA Family Nurse Practitioner
0036132 OH Family Nurse Practitioner
10036359 OR Family Nurse Practitioner
209030526 IL Family Nurse Practitioner
11009390 FL Family Nurse Practitioner primary
3-001941 AL Family Nurse Practitioner
307054 AZ Family Nurse Practitioner
C-APN.0102124-C-NP CO Family Nurse Practitioner

Licences are recorded in 15 states: IN, TN, GA, NC, KY, TX, SC, WA, OH, OR, IL, FL, AL, AZ, CO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
6709299225

Enrolled in Medicare 5 times, across 5 states:

StateEnrollment IDProvider type
Florida I20201230001021 Practitioner - Nurse Practitioner
Texas I20240531000778 Practitioner - Nurse Practitioner
Arizona I20240604001964 Practitioner - Nurse Practitioner
Colorado I20240604003468 Practitioner - Nurse Practitioner
Illinois I20241001002650 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 5 separate enrolment records across 5 states (FL, TX, AZ, CO, IL). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 15 states

This provider holds licences in 15 states: Alabama, Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Kentucky, North Carolina, Ohio, Oregon, South Carolina, Tennessee, Texas and Washington. The practice address on file is in Atlanta, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AL Alabama
Licence
3-001941
Specialty
Family Nurse Practitioner
Verify with the AL board →
AZ Arizona
Licence
307054
Specialty
Family Nurse Practitioner
Verify with the AZ board →
CO Colorado
Licence
C-APN.0102124-C-NP
Specialty
Family Nurse Practitioner
Verify with the CO board →
FL Florida
Licence
11009390
Specialty
Family Nurse Practitioner
Verify with the FL board →
GA Georgia practice address
Licence
GAA-NP002932
Specialty
Family Nurse Practitioner
Verify with the GA board →
IL Illinois
Licence
209030526
Specialty
Family Nurse Practitioner
Verify with the IL board →
IN Indiana
Licence
71016115A
Specialty
Family Nurse Practitioner
Verify with the IN board →
KY Kentucky
Licence
4034123
Specialty
Family Nurse Practitioner
Verify with the KY board →
NC North Carolina
Licence
5021473
Specialty
Family Nurse Practitioner
Verify with the NC board →
OH Ohio
Licence
0036132
Specialty
Family Nurse Practitioner
Verify with the OH board →
OR Oregon
Licence
10036359
Specialty
Family Nurse Practitioner
Verify with the OR board →
SC South Carolina
Licence
29835
Specialty
Family Nurse Practitioner
Verify with the SC board →
TN Tennessee
Licence
37249
Specialty
Family Nurse Practitioner
Verify with the TN board →
TX Texas
Licence
1160135
Specialty
Family Nurse Practitioner
Verify with the TX board →
WA Washington
Licence
AP61615302
Specialty
Family Nurse Practitioner
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 71016115A IN
363LF0000X Family Nurse Practitioner Family 37249 TN
363LF0000X Family Nurse Practitioner Family GAA-NP002932 GA
363LF0000X Family Nurse Practitioner Family 5021473 NC
363LF0000X Family Nurse Practitioner Family 4034123 KY
363LF0000X Family Nurse Practitioner Family 1160135 TX
363LF0000X Family Nurse Practitioner Family 29835 SC
363LF0000X Family Nurse Practitioner Family AP61615302 WA
363LF0000X Family Nurse Practitioner Family 0036132 OH
363LF0000X Family Nurse Practitioner Family 10036359 OR
363LF0000X Family Nurse Practitioner Family 209030526 IL
363LF0000X Family Nurse Practitioner Family 11009390 FL primary
363LF0000X Family Nurse Practitioner Family 3-001941 AL
363LF0000X Family Nurse Practitioner Family 307054 AZ
363LF0000X Family Nurse Practitioner Family C-APN.0102124-C-NP CO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1629676614 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 13, 2020
Last updatedSep 22, 2025
StatusActive
Sole proprietorNo
GenderFemale
CredentialAPRN, NP-C
Practice address 1055 HOWELL MILL RD NW
Atlanta, GA 30318
(866) 849-0692
Mailing address PO BOX 211699
Eagan, MN 55121
This record was updated on Sep 22, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1629676614 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 6 7 6 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 3 7 3 6 2

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629676614?
NPI 1629676614 is the National Provider Identifier assigned to Maria Mogollon, APRN, NP-C in Atlanta, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Maria Mogollon, APRN, NP-C?
The phone number on file with NPPES is (866) 849-0692, last updated Sep 22, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Maria Mogollon, APRN, NP-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629676614 a valid number?
Yes. 1629676614 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.