Organization Active NPI

Southeastern Gynecologic Oncology ,LLC

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1225159155
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN118553 NP Issued in GA
Legal business name
SOUTHEASTERN GYNECOLOGIC ONCOLOGY ,LLC
Practice address
980 Johnson Ferry Rd NE Ste 900
Atlanta, GA 30342-4768
Phone
(678) 420-4100
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Ms. Nan Cordier, APRN
Title
Nurse Practitioner
Phone
(678) 420-4195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN118553 NP GA Primary

Addresses

Primary practice location

980 Johnson Ferry Rd NE Ste 900
Atlanta, GA 30342-4768

Mailing address

980 Johnson Ferry Rd NE Ste 900
Atlanta, GA 30342-4768
Phone (678) 420-4100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1225159155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD NE STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424768",
            "telephone_number": "678-420-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD NE STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424768",
            "telephone_number": "678-420-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN GYNECOLOGIC ONCOLOGY ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "CORDIER",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "678-420-4195",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN118553  NP",
            "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 Jan 17, 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.