Organization Active NPI

Ascende Healthcare

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1902423163
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ASCENDE HEALTHCARE
Practice address
1880 Braselton Hwy Ste 118
Lawrenceville, GA 30043-2877
Phone
(770) 322-4373
Fax
(912) 214-2143
NPI assigned
Jul 2, 2020
Last updated
Aug 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Dr. Callie Logan, DNP, FNP-CNPI 1972901759
Title
Ceo
Phone
(770) 322-4373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1880 Braselton Hwy Ste 118
Lawrenceville, GA 30043-2877

Mailing address

1880 Braselton Hwy Ste 118
Lawrenceville, GA 30043-2877
Phone (770) 322-4373

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2216419Ascende Healthcare1880 Braselton Highway Suite 118 #5204, Lawrenceville, GA 30043Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Locations

2151 Fountain Dr
Ste 301L
Snellville, GA 30078
Phone (404) 825-3127

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1902423163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 BRASELTON HWY STE 118",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432877",
            "telephone_number": "770-322-4373",
            "fax_number": "912-214-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 BRASELTON HWY STE 118",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432877",
            "telephone_number": "770-322-4373",
            "fax_number": "912-214-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENDE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-322-4373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.