Individual provider Active NPI

Cathleen A Scully, N.P.

  • Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1336129303
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN152213 Issued in GA
Practice address
2160 Fountain Dr
Southeastern Geriatric Healthcare Group
Snellville, GA 30078-2914
Phone
(770) 982-2336
Fax
(770) 972-0805
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN152213 GA Primary

Addresses

Primary practice location

2160 Fountain Dr
Southeastern Geriatric Healthcare Group
Snellville, GA 30078-2914

Mailing address

2160 Fountain Dr
Southeastern Geriatric Healthcare Group
Snellville, GA 30078-2914
Phone (770) 982-2336

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN152213GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gary S Figiel MD PC PastSince Apr 9, 2018 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336129303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 FOUNTAIN DR",
            "address_2": "SOUTHEASTERN GERIATRIC HEALTHCARE GROUP",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782914",
            "telephone_number": "770-982-2336",
            "fax_number": "770-972-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 FOUNTAIN DR",
            "address_2": "SOUTHEASTERN GERIATRIC HEALTHCARE GROUP",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782914",
            "telephone_number": "770-982-2336",
            "fax_number": "770-972-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "CATHLEEN",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN152213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.