Provider Demographics
NPI:1861383143
Name:BECKETT, ARIANA CHRISTA (NP)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:CHRISTA
Last Name:BECKETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HOWELL MILL RD NW UNIT 608
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-8648
Mailing Address - Country:US
Mailing Address - Phone:678-327-4140
Mailing Address - Fax:
Practice Address - Street 1:105 MIRRAMONT LAKE DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-8214
Practice Address - Country:US
Practice Address - Phone:770-485-9670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN318651363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics