Corazon Cabrera Tan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036662 Issued in GA

Practice address

880 Holcomb Bridge Rd
Suite 150-B
Roswell, GA 30076-1969

Phone

(770) 998-0605

Fax

(770) 587-3528

NPI assigned

Aug 24, 2006

Last updated

Sep 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Corazon C Cabrera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7697/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evans Medical Group

  • Family Medicine Physician
  • Evans, GA
  • NPI 1760431639
  NPD (past)
• Juanita G Trimor MD PC

  • Primary Care Clinic/Center
  • Augusta, GA
  • NPI 1437383247
  NPD (past)
• Northside Cherokee Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Atlanta, GA
  • NPI 1740515618
  NPD (past)
• U.S. Healthworks Medical Group of Georgia, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Valencia, CA
  • NPI 1376523175
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1417064510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 150-B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761969",
            "telephone_number": "770-998-0605",
            "fax_number": "770-587-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 150-B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761969",
            "telephone_number": "770-998-0605",
            "fax_number": "770-587-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "CORAZON",
        "middle_name": "CABRERA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "48566",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "036662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORAZON",
            "last_name": "CABRERA",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sympathycare Hospice, LLC
• Richard Martin Szabo, M.D.
• Tab Safe Prescription Services
• Michael Talento, BCBA
• Patricia Tamburro, D.C.
• Inder Sumrat Tandon, M.D.
• Patrick C. Tanner, AT-C
• Perry Tanner, PA-C
• Stanley S Tao, M.D.
• Tara Fowler Optometric Corporation (Hazel Family Eyecare)

• Family Medicine Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.