Active NPI
Pamela G Colemon, LPN
- Licensed Practical Nurse
- Marietta, GA
National Provider Identifier
1497047518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 0749
- Practice address
- 1640 Powers Ferry Rd
BLDG 7, Ste 100
Marietta, GA 30067-5491 - Phone
- (770) 988-9200
- Fax
- (770) 988-9296
- NPI assigned
- May 8, 2011
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0749 | NJ | Primary |
Addresses
Primary practice location
1640 Powers Ferry Rd
BLDG 7, Ste 100
Marietta, GA 30067-5491
Mailing address
1640 Powers Ferry Rd
BLDG 7, Ste 100
Marietta, GA 30067-5491
Phone (770) 988-9200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0749 | NJ | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Recovery Centers | 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.
-
- Addiction Medicine (Family Medicine) Physician
- Marietta, GA
- NPI 1467611129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1497047518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD",
"address_2": "BLDG 7, STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675491",
"telephone_number": "770-988-9200",
"fax_number": "770-988-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD",
"address_2": "BLDG 7, STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675491",
"telephone_number": "770-988-9200",
"fax_number": "770-988-9296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMON",
"first_name": "PAMELA",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-08",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NJ",
"license": "0749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.