Active NPI
Claudette Louise Corey, NP
- Acute Care Nurse Practitioner
- Marietta, GA
National Provider Identifier
1497205777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN255641
- Practice address
- 3770 Due West Rd NW Ste 100
Marietta, GA 30064-1024 - Phone
- (601) 953-0437
- NPI assigned
- Oct 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN255641 | GA | |
| Acute Care Nurse Practitioner | 363LA2100X | RN255641 | GA | Primary |
Addresses
Primary practice location
3770 Due West Rd NW Ste 100
Marietta, GA 30064-1024
Mailing address
45 Norwal Rd
Memphis, TN 38117-3226
Phone (601) 953-0437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN255641 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aqua Dermatology of Georgia PC | Current | Accepting new patients | |
| Dermatopathology Lab of Skin Cancer Specialists, P.C. | Current | Accepting new patients |
Locations
835 Cogburn Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 422-5557
835 Cogburn Ave NW
Ste 250
Marietta, GA 30060
Phone (770) 422-8815
Organizations & group practices 2
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.
-
dba Goodman Dermatology, Skin Cancer Specialists PC & Aesthetics Center
- Dermatology Physician
- Marietta, GA
- NPI 1114022167
-
- Clinical Medical Laboratory
- Marietta, GA
- NPI 1083044465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1497205777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 NORWAL RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381173226",
"telephone_number": "601-953-0437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3770 DUE WEST RD NW STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300641024",
"telephone_number": "601-953-0437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COREY",
"first_name": "CLAUDETTE",
"middle_name": "LOUISE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN255641",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN255641",
"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 Oct 20, 2025; 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.