Nancy S Koughan, D.O.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

048532 Issued in GA

Practice address

445 Winn Way
Decatur, GA 30030-1707

Phone

(404) 508-7881

Fax

(404) 294-3272

NPI assigned

Jun 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Dekalb County Board of Health

  • Public Health or Welfare Agency
  • Decatur, GA
  • NPI 1750481982
  NPD
• Dekalb County Board of Health

  • Public Health or Welfare Agency
  • Decatur, GA
  • NPI 1992801021
  NPD

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770588691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WILLOW LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301430",
            "telephone_number": "404-508-7781",
            "fax_number": "404-294-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301707",
            "telephone_number": "404-508-7881",
            "fax_number": "404-294-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUGHAN",
        "first_name": "NANCY",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "GA",
            "license": "048532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepthi Koralla, DO
• Sherri Kornfeld, PT
• Deborah Korzun
• Madhava R Koti, MD
• Heather I Kotler, LCSW
• Woojin Kwak Kowalk, D.O.
• Elizabeth Krakovski, BS
• Elizabeth Krakow, PHD
• Jerald Noel Kramer, DPM
• Karolyn J Kramer, MD

• Public Health & General Preventive Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Public Health & General Preventive Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.