Active NPI
Ascende Healthcare
- Family Nurse Practitioner
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Callie Logan, DNP, FNP-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2216419 | Ascende Healthcare | Certificate of waiver | Mar 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Lawrenceville, GA
- NPI 1972901759
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.