Active NPI
Chariese McCoy
- Nurse's Aide
- Savannah, GA
National Provider Identifier
1518401306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 025-R-1712
- Practice address
- 8400 Abercorn St
108-A
Savannah, GA 31406-3425 - Phone
- (912) 335-2636
- Fax
- (912) 330-1189
- NPI assigned
- Dec 13, 2016
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 025-R-1712 | GA | Primary |
Addresses
Primary practice location
8400 Abercorn St
108-A
Savannah, GA 31406-3425
Mailing address
8400 Abercorn St 108-a
Savannah, GA 31406
Phone (912) 844-1344
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 |
|---|---|---|---|
| 025-R-1712 | GA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1518401306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 ABERCORN ST 108-A",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31406",
"telephone_number": "912-844-1344",
"fax_number": "912-303-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 ABERCORN ST",
"address_2": "108-A",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063425",
"telephone_number": "912-335-2636",
"fax_number": "912-330-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "CHARIESE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-13",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "GA",
"license": "025-R-1712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.