Active NPI
Catherine Cooley, N.P.
- Women's Health Nurse Practitioner
- Lagrange, GA
National Provider Identifier
1629061494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN043302
- Practice address
- 1220 Hogansville Rd
Lagrange, GA 30241-6600 - Phone
- (706) 298-7250
- NPI assigned
- Aug 26, 2005
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN043302 | GA | Primary |
Addresses
Primary practice location
1220 Hogansville Rd
Lagrange, GA 30241-6600
Mailing address
356 John Lovelace Rd
Lagrange, GA 30241-9547
Phone (706) 882-7461
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troup County Board of Health | 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.
-
- State or Local Public Health Clinic/Center
- Lagrange, GA
- NPI 1912091661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1629061494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 JOHN LOVELACE RD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302419547",
"telephone_number": "706-882-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 HOGANSVILLE RD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302416600",
"telephone_number": "706-298-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "CATHERINE",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN043302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.