Organization Active NPI

Wound Care Solutions

  • Nurse Practitioner
  • College Park, GA
National Provider Identifier
1457510380
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN056087 Issued in GA
Legal business name
WOUND CARE SOLUTIONS
Practice address
3000 Keenan Rd
College Park, GA 30349-4644
Phone
(404) 502-2070
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Sandra Williams
Title
Provider
Phone
(404) 502-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X RN056087 GA Primary

Addresses

Primary practice location

3000 Keenan Rd
College Park, GA 30349-4644

Mailing address

3000 Keenan Rd
College Park, GA 30349-4644
Phone (404) 502-2070

Other identifiers 1

IdentifierTypeStateIssuer
000808343CMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1457510380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 KEENAN RD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494644",
            "telephone_number": "404-502-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 KEENAN RD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494644",
            "telephone_number": "404-502-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "404-502-2070"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN056087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000808343C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.