Active NPI
Karen Patrice McDade, NURSE PRACTITIONER
- Family Nurse Practitioner
- Columbus, GA
National Provider Identifier
1427272830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN106874 NP
- Practice address
- 1900 5TH Ave
Columbus, GA 31904-8916 - Phone
- (706) 576-4474
- Fax
- (706) 576-4950
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN106874 NP | GA | Primary |
Addresses
Primary practice location
1900 5TH Ave
Columbus, GA 31904-8916
Mailing address
PO Box 842
Fortson, GA 31808-0842
Phone (706) 565-7141
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN106874 NP | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookstone Comprehensive Breast Care Center, LLC | Current | Accepting new patients | |
| Richard R. Bloom M.D. LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mammography Clinic/Center
- Columbus, GA
- NPI 1689010167
-
- Surgery Physician
- Columbus, GA
- NPI 1831273259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427272830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 842",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080842",
"telephone_number": "706-565-7141",
"fax_number": "706-565-7131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 5TH AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048916",
"telephone_number": "706-576-4474",
"fax_number": "706-576-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDADE",
"first_name": "KAREN",
"middle_name": "PATRICE",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN106874 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, 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.