Active NPI
E'Sor Nursing Enterprise LLC
- Primary Care Clinic/Center
- Evans, GA
National Provider Identifier
1740964428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- E'SOR NURSING ENTERPRISE LLC
- Practice address
- 5121 Washington Rd
Evans, GA 30809-6448 - Phone
- (706) 434-9330
- NPI assigned
- Jun 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chiquita Foreman
- Title
- Founder
- Phone
- (706) 434-9330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
5121 Washington Rd
Evans, GA 30809-6448
Mailing address
5121 Washington Rd
Evans, GA 30809-6448
National Provider Directory
National Provider DirectoryLocations
5121 Washington Rd
Evans, GA 30809
Phone (404) 594-5993
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fort Gordon, GA
- NPI 1861043101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686614400000",
"number": "1740964428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5121 WASHINGTON RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308096448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 WASHINGTON RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308096448",
"telephone_number": "706-434-9330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E'SOR NURSING ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-13",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A",
"authorized_official_last_name": "FOREMAN",
"authorized_official_first_name": "CHIQUITA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "706-434-9330"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.