MEDICARE: MADINA SAIPOVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN295442	GA

General Provider Information

NPI Number	:	1558069922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADINA SAIPOVA

Provider Business Mailing Address
First Line	:	993 JOHNSON FERRY RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1620
Country	:	US
Telephone Number	:	404-256-1727
Fax Number	:

Provider Business Practice Location Address
First Line	:	993 JOHNSON FY RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1620
Country	:	US
Telephone Number	:	404-256-1727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	12/04/2025

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Directions to “ MADINA SAIPOVA ” Practice Location

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