Individual provider Active NPI

Callie Logan, DNP FNP-C APRN

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1972901759
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN214237 Issued in GA
Practice address
1880 Braselton Hwy Ste 118
Lawrenceville, GA 30043-2877
Phone
(404) 825-3127
NPI assigned
Dec 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN214237 GA Primary
Nurse Practitioner 363L00000X RN214237 GA

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 (404) 825-3127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN214237GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascende Home Hospice & Healthcare CurrentSince Nov 21, 2017 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: ms_clogan20@landmarkhealth-direct.org

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": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1972901759",
    "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": "404-825-3127"
        },
        {
            "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": "404-825-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "CALLIE",
        "credential": "DNP FNP-C APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN214237",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN214237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.