Active NPI
Angela Cudger, PA-A, HEALTH COACH
- Health & Wellness Coach
- Alpharetta, GA
National Provider Identifier
1720376833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 6820 Victory Run
Alpharetta, GA 30005-3002 - Phone
- (404) 388-7235
- NPI assigned
- Jul 11, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 1255 | NC | |
| Anesthesiologist Assistant | 367H00000X | 6865 | GA | |
| Health & Wellness Coach | 171400000X | GA | Primary |
Addresses
Primary practice location
6820 Victory Run
Alpharetta, GA 30005-3002
Mailing address
7778 McGinnis Ferry Road
PMB 303
Suwanee, GA 30024-2564
Phone (404) 388-7235
Other practice location 1
380 Hospital Dr
Suite 410
Macon, GA 31217
Phone (478) 746-5644
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003135897A | Medicaid | GA | |
| 003135897C | Medicaid | GA | |
| 003135897B | Medicaid | GA | |
| 003135897D | Medicaid | GA | |
| 01869603 | Other | GA | AMERIGROUP |
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
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6865 | GA | MD | Neonatal/Pediatric Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Holistic Health Institute | Health & Wellness Coach | Current | Accepting new patients |
| Holisticare Staffng Solutions, LLC | Health & Wellness Coach | Current | Accepting new patients |
Locations
7778 McGinnis Ferry Rd
Suwanee, GA 30024
Phone (404) 944-1475
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.
-
- Health & Wellness Coach
- Alpharetta, GA
- NPI 1114794500
-
- Health & Wellness Coach
- Alpharetta, GA
- NPI 1023885340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1720376833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7778 MCGINNIS FERRY ROAD",
"address_2": "PMB 303",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242564",
"telephone_number": "404-388-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 VICTORY RUN",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053002",
"telephone_number": "404-388-7235"
}
],
"practiceLocations": [
{
"address_1": "380 Hospital Dr",
"address_2": "Suite 410",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "31217",
"country_code": "US",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUDGER",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "PA-A, HEALTH COACH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "NC",
"license": "1255",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "6865",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135897A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135897C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135897B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135897D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01869603",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
- Marquiza Chantal Crowder
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- Csi Genetics, LLC
- Csi Pathology LLC
- Cumming Dental Associates, PC (Alpharetta Family & Specialty Dental Care)
- Victoria Bernice Cummings
- Virginia Cunningham, LCSW
- Curantis Consultancy LLC (Ayuh Wellness center)
- Curative Mindset Coaching Healing & Human Service Consultancy LLC (Curative Mindset)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.