Individual provider Active NPI

Korpo Kpissay Erawoc, MSN, FNP-C

  • Family Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1366970139
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN175153 Issued in GA
Practice address
201 Jordan Rd Ste 100
Franklin, TN 37067-4495
Phone
(678) 230-1818
Fax
(877) 319-4345
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN175153 GA Primary

Addresses

Primary practice location

201 Jordan Rd Ste 100
Franklin, TN 37067-4495

Mailing address

1418 Mill Pointe CT
Lawrenceville, GA 30043-9111
Phone (404) 447-7927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180604001535 GA Practitioner - Nurse Practitioner 3476818931 Reassigns benefits to 4 organizations
I20260415000881 IL Practitioner - Nurse Practitioner 3476818931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care at Home Medical Practice PCGroup PAC ID 5092164533, 5 clinicians

Practice addresses (Care Compare)

Atlanta, GA 30339
Phone (844) 401-4663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Great Health Medical Ga PC CurrentSince Apr 7, 2024 Accepting new patients
Amazing Hearts Homecare LLC Current Accepting new patients
Care at Home Medical Practice PC CurrentSince Apr 22, 2025 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Mar 3, 2025 Accepting new patients
Cinqcare at Home PLLC Family CurrentSince Jan 28, 2026 Accepting new patients
Pruitthealth Physicians Services, LLC Family CurrentSince Dec 12, 2018 Accepting new patients
Vpa PC CurrentSince Mar 3, 2025 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700

3330 Cumberland Blvd SE
Ste 500
Atlanta, GA 30339
Phone (404) 726-0283

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

190 S La Salle St
Ste 2625
Chicago, IL 60603
Phone (844) 401-4663

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

Interoperability endpoints

  • Direct secure messaging: korpo.erawoc@cinq-nyipa.medentdirect.com

Organizations & group practices 8

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1366970139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 MILL POINTE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300439111",
            "telephone_number": "404-447-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 JORDAN RD STE 100",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674495",
            "telephone_number": "678-230-1818",
            "fax_number": "877-319-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERAWOC",
        "first_name": "KORPO",
        "middle_name": "KPISSAY",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN175153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.