Active NPI
Tangela McCorkle, MS,ATC,LAT
- Specialist
- Suwanee, GA
National Provider Identifier
1407989783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AT001237
- Practice address
- 4255 Johns Creek Pkwy
A
Suwanee, GA 30024-6038 - Phone
- (770) 622-5344
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | AT001237 | GA | Primary |
Addresses
Primary practice location
4255 Johns Creek Pkwy
A
Suwanee, GA 30024-6038
Mailing address
4255 Johns Creek Pkwy
A
Suwanee, GA 30024-6038
Phone (770) 622-5344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT001237 | Other | GA | ATHLETIC TRAINER |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001237 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407989783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4255 JOHNS CREEK PKWY",
"address_2": "A",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246038",
"telephone_number": "770-622-5344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4255 JOHNS CREEK PKWY",
"address_2": "A",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246038",
"telephone_number": "770-622-5344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORKLE",
"first_name": "TANGELA",
"credential": "MS,ATC,LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "AT001237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER",
"identifier": "AT001237",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.