Active NPI
Erika Koredjian, NP
- Nurse Practitioner
- Dacula, GA
National Provider Identifier
1194550632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN259444
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN259444 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Disease Consultants, PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Infectious Disease Physician
- Suwanee, GA
- NPI 1225087745
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.