Active NPI
Southeastern Gynecologic Oncology ,LLC
- Family Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1225159155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN118553 NP
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecologic Oncology Physician
- Atlanta, GA
- NPI 1275509515
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Charleston, SC
- NPI 1184649261
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
- Southcare Physicians Group Obstetrics & Gynecology
- Southeast Clinical Nutrition Centers, Inc.
- Southeast Eye Professionals LLC
- Southeast Eye Surgery Center, PC
- Southeastern Endocrine Laboratory, Inc.
- Southeastern Gynecologic Oncology 2 LLC
- Southeastern Gynecologic Oncology at Saint Joseph'S, LLC
- Southeastern Gynecologic Oncology, LLC
- Southeastern Interventional Pain ASC LLC
- Southeastern Interventional Pain Associates LLC
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.