Individual provider Active NPI

Choyce Stevens Coe, CPNP

  • Pediatric Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1932856606
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11026551 Issued in FL
Practice address
3885 Princeton Lakes Way SW Ste 302
Atlanta, GA 30331-5590
Phone
(404) 629-1880
Fax
(404) 629-1923
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X RN245083 GA
Pediatric Nurse Practitioner 363LP0200X APRN11026551 FL Primary

Addresses

Primary practice location

3885 Princeton Lakes Way SW Ste 302
Atlanta, GA 30331-5590

Mailing address

3885 Princeton Lakes Way SW Ste 302
Atlanta, GA 30331-5590
Phone (404) 629-1880

Other practice location 1

1403 Medical Plaza Dr Ste 104
Sanford, FL 32771-1047
Phone (407) 249-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213001152 GA Practitioner - Nurse Practitioner 6002346590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN245083GAMDPediatrics Physician
APRN11026551FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Medical Group Inc Pediatrics CurrentSince Jan 20, 2025 Accepting new patients

Locations

100 Greenway Blvd
Ste C
Carrollton, GA 30117
Phone (770) 838-8710

706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1932856606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 PRINCETON LAKES WAY SW STE 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315590",
            "telephone_number": "404-629-1880",
            "fax_number": "404-629-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 PRINCETON LAKES WAY SW STE 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315590",
            "telephone_number": "404-629-1880",
            "fax_number": "404-629-1923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 Medical Plaza Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327711047",
            "country_code": "US",
            "telephone_number": "407-249-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COE",
        "first_name": "CHOYCE",
        "middle_name": "STEVENS",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "RN245083",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11026551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.