Karyssa Coston, NP

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

UNKNOWN Issued in GA

Practice address

350 Country Club Dr Ste a
Stockbridge, GA 30281-9084

Phone

(770) 692-4000

NPI assigned

Dec 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1972140374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 COUNTRY CLUB DR STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 COUNTRY CLUB DR STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819084",
            "telephone_number": "770-692-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTON",
        "first_name": "KARYSSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "UNKNOWN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azolina Cooper
• Tammy Coots, PSY.D.
• Charles Everett Coppinger, PA-C
• Kimberly Lynn Corbitt, PA-C
• Melani P Cornelius-Sanders, M.D.
• Don Cotton, LPC
• Jesse William Couk, M.D.
• Countryside Hospice Care, Inc
• Covenant Care Pediatrics PC
• Joseph Paul Coviello, DPT

• Interventional Cardiology Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Interventional Cardiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.