Cathy Conwell Raiser, MSN, APRN, BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

057774 Issued in GA

Practice address

54 Peachtree Park Dr NE
Atlanta, GA 30309-1304

Phone

(404) 351-6041

Fax

(404) 355-1092

NPI assigned

Jan 22, 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

Other names 1

• Cathy Dawn Conwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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.

• Progressive Healthcare of Gwinnett LLC

  • General Practice Physician
  • Lilburn, GA
  • NPI 1174892392
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1760535645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7366",
            "fax_number": "502-568-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PEACHTREE PARK DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091304",
            "telephone_number": "404-351-6041",
            "fax_number": "404-355-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISER",
        "first_name": "CATHY",
        "middle_name": "CONWELL",
        "credential": "MSN, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN057774",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "057774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHY",
            "last_name": "CONWELL",
            "middle_name": "DAWN",
            "credential": "MSN, APRN, BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharegan Rainey
• Stacy Marie Rainey, D.C.
• Diane Rainford, PMHNP-BC, WHNP-BC
• Carly Rains
• Joshua Allen Rains, PHARM.D.,BCPS
• Raj K Gandhi & Chandi P Sharma PTR
• Aneesha Raj, MD/MPH
• Kiran Raja
• Tahsin Alkarim Rajabali, PNP
• Sandhya Rajagopal, PHD

• Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.