Active NPI
Coreen McPherson
- Family Nurse Practitioner
- Marietta, GA
National Provider Identifier
1669517470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN176645
- Practice address
- 3315 Hilltop Dr
Marietta, GA 30066-3787 - Phone
- (770) 423-5959
- NPI assigned
- Feb 20, 2007
- Last updated
- Sep 17, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN176645 | GA | Primary |
Addresses
Primary practice location
3315 Hilltop Dr
Marietta, GA 30066-3787
Mailing address
3905 Due West Rd NW
Marietta, GA 30064-1019
Phone (678) 209-3022
Other practice location 1
316 E 7th St SW
Rome, GA 30161-3314
Phone (706) 378-2273
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN176645 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1669517470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 DUE WEST RD NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300641019",
"telephone_number": "678-209-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 HILLTOP DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300663787",
"telephone_number": "770-423-5959"
}
],
"practiceLocations": [
{
"address_1": "316 E 7th St SW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301613314",
"country_code": "US",
"telephone_number": "706-378-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCPHERSON",
"first_name": "COREEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN176645",
"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 Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.