Carolyne N Katongole, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN193652 Issued in GA

Practice address

3424 Flat Shoals Rd
Decatur, GA 30034-6525

Phone

(404) 968-8269

Fax

(404) 968-8274

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Atlanta Family Physicians PC

  • Clinic/Center
  • Decatur, GA
  • NPI 1194914135
  Medicare reassignment NPD
• Atlanta Health Unlimited

  • Clinic/Center
  • Decatur, GA
  • NPI 1598954281
  NPD (past)
• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1437667896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 STERLING RIDGE CHASE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624983",
            "telephone_number": "617-852-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 FLAT SHOALS RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346525",
            "telephone_number": "404-968-8269",
            "fax_number": "404-968-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATONGOLE",
        "first_name": "CAROLYNE",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN193652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Christman, LCSW LLC
• Alecia Rebecca Kates, RN
• Kathleen M. Raviele, MD PC
• Katie Leikam, LLC
• Greg Kato
• David E Katz, M.D.
• Ian Katz, M.D.
• Gus Bernd Kaufman Jr., PH.D.
• June Kaufman, PH.D.
• Alka Kaushal, PHARMD

• Family Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.