Individual provider Active NPI

Coyette Annisee Telemaque, NP-C

  • Family Nurse Practitioner
  • Buford, GA
National Provider Identifier
1104250950
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN184550 Issued in GA
Practice address
3331 Hamilton Mill Rd Ste 1102
Buford, GA 30519
Phone
(678) 541-0588
Fax
(678) 541-0610
NPI assigned
Aug 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN184550 GA Primary

Addresses

Primary practice location

3331 Hamilton Mill Rd Ste 1102
Buford, GA 30519

Mailing address

3331 Hamilton Mill Rd Ste 1102
Buford, GA 30519
Phone (678) 541-0588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1104250950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 HAMILTON MILL RD STE 1102",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "30519",
            "telephone_number": "678-541-0588",
            "fax_number": "678-541-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 HAMILTON MILL RD STE 1102",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "30519",
            "telephone_number": "678-541-0588",
            "fax_number": "678-541-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELEMAQUE",
        "first_name": "COYETTE",
        "middle_name": "ANNISEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN184550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.