Nicole Chavannes

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN206850 Issued in GA

Practice address

5524 Old National Hwy
Ste B
College Park, GA 30349-3341

Phone

(404) 763-8555

Fax

(404) 763-8502

NPI assigned

Dec 12, 2012

Last updated

Dec 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gye Nyame Therapeutic Counseling

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1942565346
  NPD (past)
• Helping Hands Community Based Services, Inc.

  • Case Management Agency
  • Atlanta, GA
  • NPI 1669702510
  NPD (past)
• Lillie Cares Health Services, LLC

  • Community/Behavioral Health Agency
  • Brunswick, GA
  • NPI 1922360239
  NPD (past)

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1164768537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 ATLANTA HWY",
            "address_2": "STE 110-224",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524930",
            "telephone_number": "678-288-6550",
            "fax_number": "678-288-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 OLD NATIONAL HWY",
            "address_2": "STE B",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493341",
            "telephone_number": "404-763-8555",
            "fax_number": "404-763-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVANNES",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN206850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centers for Pediatric Dental Sedation LLC
• Chain of Custody Testing Solutions LLC
• Euasteria Chaney
• Charity Community Living Arrangement LLC
• Charity Personal Care Home L.L.C.
• Christ the King Day Habilitation Services, Inc.
• Anthony Chukwukelue, NP
• Citrine Therapy Source
• Cityviewhealthcare
• CJR Special Transportation LLC

• Registered Nurse in College Park, GA
• Providers in College Park, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.