Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558340349 Individual Practitioner Female Practitioner

Grace I. Misaki , NP

Nurse Practitioner • Dacula, GA

Professional Overview & Biography Verified Profile Summary

Grace Misaki, NP is a registered healthcare professional specializing in Nurse Practitioner in Dacula, GA. Practice services are available at 4285 JIM MOORE RD STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, evaluation of neuropsychological test, first hour, administration of psychological or neuropsychological test by technician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4285 Jim Moore Rd Ste 200

Dacula, GA 300191551

Telephone 7704421911
Fax 7074420306
Associated Practice Facility / Clinic
🏢 Southeast Medical Group, P.c. Facility NPI 1235296054

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dacula, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
9 Specialists

Practicing in Dacula, GA (3149 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
26 26 $350.00 $170.84
96132 Evaluation of neuropsychological test, first hour
15 15 $200.00 $101.68
96139 Administration of psychological or neuropsychological test by technician, each additional 30 minutes
14 14 $66.00 $30.29
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes
14 14 $66.00 $29.70
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes
11 11 $490.00 $185.78

Medical Specialties & State Licenses

CMS Verified: 2023-05-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN098265

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000852057E (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Luce Solari-Suprena , ARNP, FNP-BC

Nurse Practitioner - Primary Care

NPI 1023420858

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

Sarah Balkcom , PA

Physician Assistant - Medical

NPI 1023572849

Physician Assistant

Emily Haugen , PA-C

Physician Assistant

NPI 1023801610

Physician Assistant (Certified)

Dr. Jennifer Saddanathan , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1033468251

Doctor of Pharmacy (Pharm.D.)

Lindsey Parks , PA-C

Physician Assistant

NPI 1033731690

Physician Assistant (Certified)

Gina Bauknecht , FNP-C

Nurse Practitioner - Family

NPI 1043046519

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 10, 2023

Registered at 4285 JIM MOORE RD STE 200, DACULA, GA 300191551 (Tel: 7704421911)

👤
Provider Name / Credentials Updated May 10, 2023

Recorded as GRACE MISAKI, NP

📍
Updated Practice Location May 25, 2018

Registered at 601 PROFESSIONAL DR # A, SUITE 260, LAWRENCEVILLE, GA 30045 (Tel: 7708220788)

👤
Provider Name / Credentials Updated May 25, 2018

Recorded as GRACE MISAKI, MSN

NPI Profile Active February 26, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2008

Registered at 601 PROFESSIONAL DR # A, SUITE 260, LAWRENCEVILLE, GA 300457698 (Tel: 7708220788)

📍
Updated Business Mailing Address February 26, 2008

Registered at 1835 SAVOY DR, SUITE 300, ATLANTA, GA 303411072 (Tel: 7704969400)

👤
Provider Name / Credentials Updated February 26, 2008

Recorded as GRACE WEKESA, MSN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2008

Nurse Practitioner (License #RN098265 in GA)

🟢
Initial NPI Registration & Enumeration January 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558340349
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2006
Last Update: May 10, 2023
Sole Proprietor: No

Mailing Address

1835 Savoy Dr, Suite 300

Atlanta, GA 303411072

Phone: 7704969400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.