Active NPI
Coranesha Pryor, NURSE ASSISTANT
- Nurse's Aide
- Atlanta, GA
National Provider Identifier
1205715752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CN0014205562
- Practice address
- 1870 The Exchange SE Ste 220 PMB 414617
Atlanta, GA 30339 - Phone
- (912) 401-2810
- NPI assigned
- Aug 28, 2025
- Last updated
- Aug 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
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's Aide | 376K00000X | CN0014205562 | GA | Primary |
Addresses
Primary practice location
1870 The Exchange SE Ste 220 PMB 414617
Atlanta, GA 30339
Mailing address
1870 The Exchange SE Ste 220 PMB 414617
Atlanta, GA 30339
Phone (912) 401-2810
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CN0014205562 | GA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1205715752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 THE EXCHANGE SE STE 220 PMB 414617",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30339",
"telephone_number": "912-401-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 THE EXCHANGE SE STE 220 PMB 414617",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30339",
"telephone_number": "912-401-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYOR",
"first_name": "CORANESHA",
"credential": "NURSE ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "GA",
"license": "CN0014205562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.