Active NPI
Korinne McNally
- Registered Nurse
- Decatur, GA
National Provider Identifier
1265259253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN248844
- Practice address
- 125 Clairemont Ave Ste 190
Decatur, GA 30030-2585 - Phone
- (404) 748-9691
- NPI assigned
- Sep 23, 2024
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN248844 | GA | Primary |
Addresses
Primary practice location
125 Clairemont Ave Ste 190
Decatur, GA 30030-2585
Mailing address
2356 Desmond Dr
Decatur, GA 30033-4745
Phone (770) 617-0008
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 |
|---|---|---|---|
| RN248844 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childfren'S Medical Group, P.C. | Past | Accepting new patients | |
| Edward M. Gotlieb, M.D., Et Al Dba the Pediatric Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Adolescent Medicine Physician
- Atlanta, GA
- NPI 1497865935
-
- Pediatrics Physician
- Stone Mountain, GA
- NPI 1619197498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1265259253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2356 DESMOND DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334745",
"telephone_number": "770-617-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CLAIREMONT AVE STE 190",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302585",
"telephone_number": "404-748-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "KORINNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN248844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.