Individual provider Active NPI

Katherine Newlon

  • General Practice Physician
  • Woodstock, GA
National Provider Identifier
1811601388
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
RN306332 Issued in GA
Practice address
735 Market St Unit 1102
Woodstock, GA 30188-1736
Phone
(470) 495-3995
Fax
(478) 202-1220
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X RN306332 GA Primary

Addresses

Primary practice location

735 Market St Unit 1102
Woodstock, GA 30188-1736

Mailing address

735 Market St Unit 1102
Woodstock, GA 30188-1736
Phone (470) 495-3995

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN306332GAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1811601388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 MARKET ST UNIT 1102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881736",
            "telephone_number": "470-495-3995",
            "fax_number": "478-202-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MARKET ST UNIT 1102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881736",
            "telephone_number": "470-495-3995",
            "fax_number": "478-202-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLON",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "RN306332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.