Active NPI
Victor Alan Couch, RNFA
- Registered Nurse First Assistant
- Johns Creek, GA
National Provider Identifier
1821590423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN054026
- Practice address
- 6325 Hospital Pkwy
Johns Creek, GA 30097-5775 - Phone
- (678) 474-7000
- NPI assigned
- Feb 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN054026 | GA | Primary |
Addresses
Primary practice location
6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Mailing address
6040 Julian Rd
Gainesville, GA 30506-6099
Phone (770) 312-0477
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN054026 | GA | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1821590423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 JULIAN RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305066099",
"telephone_number": "770-312-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 HOSPITAL PKWY",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300975775",
"telephone_number": "678-474-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUCH",
"first_name": "VICTOR",
"middle_name": "ALAN",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "GA",
"license": "RN054026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.