Karen M Ferguson, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6663 Issued in GA

Practice address

320 Kennestone Hospital Blvd
Suite LL1
Marietta, GA 30060

Phone

(770) 793-7500

NPI assigned

Feb 21, 2007

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1760527253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SANDY PLAINS ROAD",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KENNESTONE HOSPITAL BLVD",
            "address_2": "SUITE LL1",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-793-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Stoneridge Drive",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29210",
            "country_code": "US",
            "telephone_number": "803-461-3000",
            "fax_number": "803-461-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Stoneridge Drive",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29210",
            "country_code": "US",
            "telephone_number": "803-461-3000",
            "fax_number": "803-461-4917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "903",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kferguson32167@directwellstar.org",
            "affiliation": "N",
            "address_1": "320 KENNESTONE HOSPITAL BLVD",
            "address_2": "SUITE LL1",
            "city": "MARIETTA",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300603006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aaron David Feldman, PHD
• Steven Feliciano, DC
• Carole Felser
• Shatava Fennell
• Fibia Simona Ferche, LPC
• Nicole Ferguson
• Ryan Christopher Ferguson, DO
• Leah Marie Ferris-Yankus, PH.D.
• Terresa A Ferruccio, DOCTORATE OF PT
• Michele M Fesler, MS, MT-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.