Individual provider Active NPI

Erika Koredjian, NP

  • Nurse Practitioner
  • Dacula, GA
National Provider Identifier
1194550632
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN259444 Issued in GA
Practice address
3625 Braselton Hwy Ste 104
Dacula, GA 30019-4696
Phone
(678) 347-2153
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN259444 GA Primary

Addresses

Primary practice location

3625 Braselton Hwy Ste 104
Dacula, GA 30019-4696

Mailing address

5767 Old Winder Hwy
Braselton, GA 30517-1603
Phone (678) 865-8399

Other practice location 1

5400 Laurel Springs Pkwy Ste 1404
Suwanee, GA 30024-6098
Phone (678) 347-2153

Other practice location 2

759 Old Norcross Rd
Lawrenceville, GA 30046-4317
Phone (678) 347-2153

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN259444GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants, PC PastSince Oct 12, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIAABD

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1194550632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 OLD WINDER HWY",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305171603",
            "telephone_number": "678-865-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 BRASELTON HWY STE 104",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194696",
            "telephone_number": "678-347-2153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Laurel Springs Pkwy Ste 1404",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246098",
            "country_code": "US",
            "telephone_number": "678-347-2153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 Old Norcross Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464317",
            "country_code": "US",
            "telephone_number": "678-347-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOREDJIAN",
        "first_name": "ERIKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN259444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.