Katherine Ordonez-Fall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7138 Issued in GA

Practice address

6020 Dawson Blvd Ste I
Norcross, GA 30093-1259

Phone

(770) 449-5259

Fax

(770) 449-5023

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clinic for Education, Treatment and Prevention of Addiction, Inc.

  • Community/Behavioral Health Agency
  • Norcross, GA
  • NPI 1396885059
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1679806319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 FAWN LAKE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053653",
            "telephone_number": "770-572-7440",
            "fax_number": "770-449-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 DAWSON BLVD STE I",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931259",
            "telephone_number": "770-449-5259",
            "fax_number": "770-449-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDONEZ-FALL",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emelia Ada Orubele, RPH
• Blessing Oruma

• Physician Assistant in Norcross, GA
• Providers in Norcross, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.