Individual provider Active NPI

Cathy Culbreth Espy, PA-C

  • Physician Assistant
  • Stone Mountain, GA
National Provider Identifier
1447430210
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002079 Issued in GA
Practice address
910 N Hairston Rd
Integrated Life Center
Stone Mountain, GA 30083-2802
Phone
(404) 377-5556
Fax
(404) 377-8245
NPI assigned
Nov 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002079 GA Primary

Addresses

Primary practice location

910 N Hairston Rd
Integrated Life Center
Stone Mountain, GA 30083-2802

Mailing address

910 North Hairston Rd.
Integrated Life Center
Stone Mountain, GA 30083-2802
Phone (404) 377-5556

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Metro Psychiatric Associates Past Accepting new patients

Organizations & group practices 1

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": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1447430210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 NORTH HAIRSTON RD.",
            "address_2": "INTEGRATED LIFE CENTER",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832802",
            "telephone_number": "404-377-5556",
            "fax_number": "404-377-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N HAIRSTON RD",
            "address_2": "INTEGRATED LIFE CENTER",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832802",
            "telephone_number": "404-377-5556",
            "fax_number": "404-377-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPY",
        "first_name": "CATHY",
        "middle_name": "CULBRETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.