Wanda Denise Correia, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN122788 Issued in GA

Practice address

220 J L White Dr
Suite 110
Jasper, GA 30143-4894

Phone

(706) 253-3842

Fax

(706) 253-3837

NPI assigned

Aug 1, 2008

Last updated

Aug 1, 2008By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5089/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.

• Tate Medical Associates, LLC

  • Family Medicine Physician
  • Tate, GA
  • NPI 1932454790
  NPD (past)

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1457517146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 J L WHITE DR",
            "address_2": "SUITE 110",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434894",
            "telephone_number": "706-253-3842",
            "fax_number": "706-253-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 J L WHITE DR",
            "address_2": "SUITE 110",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434894",
            "telephone_number": "706-253-3842",
            "fax_number": "706-253-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREIA",
        "first_name": "WANDA",
        "middle_name": "DENISE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN122788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Wesley Conner, CRNA
• Haley Cook, APRN, FNP
• Lynn Cooper, PH.D.
• Leslie G Cornelison, RPH
• Kristen Elizabeth Cornelius, MSN, AG-ACNP, CV-BC
• Coster Care (Ball Ground Family Practice,P.C.)
• Charles Leo Coster, D.O
• Cplace Jasper SNF LLC (Grandview Heath Care Center)
• Laura Craig
• Crescent Services LLC (Jasper Drug Store)

• Family Nurse Practitioner in Jasper, GA
• Providers in Jasper, 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 Aug 1, 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.