NPIMap

Organization Active NPI

Take Care Health Georgia, P.C.

  • Family Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1043409964
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TAKE CARE HEALTH GEORGIA, P.C.
Practice address
2779 Cobb Pkwy NW
Kennesaw, GA 30152-3437
Phone
(855) 925-4733
Fax
(217) 709-2345
NPI assigned
Oct 16, 2007
Last updated
Dec 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Hegg
Title
Assistant Secretary
Phone
(217) 709-2469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2779 Cobb Pkwy NW
Kennesaw, GA 30152-3437

Mailing address

1901 E Voorhees St
Ms 640
Danville, IL 61834-4509
Phone (855) 925-4733

National Provider Directory

National Provider Directory

Locations

3740 Cascade Rd SW
Atlanta, GA 30331
Phone (404) 472-1949

794 S Park St
Carrollton, GA 30117
Phone (678) 732-1511

575 Dacula Rd
Dacula, GA 30019
Phone (770) 962-2077

1490 Pleasant Hill Rd
Duluth, GA 30096
Phone (770) 921-9976

855 Veterans Memorial Hwy SE
Mableton, GA 30126
Phone (770) 819-7869

2444 Dallas Hwy SW
Marietta, GA 30064
Phone (678) 732-1512

2464 Roswell Rd
Marietta, GA 30062
Phone (678) 560-4781

100 S Peachtree Pkwy
Peachtree City, GA 30269
Phone (678) 732-1522

16756 Collection Center Dr
Chicago, IL 60693

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1043409964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST",
            "address_2": "MS 640",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 COBB PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523437",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE CARE HEALTH GEORGIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "HEGG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "217-709-2469"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.