CALLIE LOGAN (NPI# 1972901759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972901759 |
| Entity Type | Individual |
| Full Name | CALLIE LOGAN |
| Credential | DNP FNP-C APRN |
| Practice Address |
3715 Northside Pkwy Nw Atlanta GA 30327-2882 |
| Mailing Address |
186 Stonehurst Way Lawrenceville GA 30044-4951 |
| Practice Telephone | 4048253127 |
| Mailing Telephone | 4048253127 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN214237 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN214237 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3715 NORTHSIDE PKWY NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-2882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891879813 | A.g. Rhodes Extendacare, Inc. | Hospice Care, Community Based | 3715 Northside Pkwy Nw, Building 400, Suite 305, Atlanta, GA 30327-2806 | 2006-10-25 |
| 1891270443 | Aminat Aina Babalola | Nurse Practitioner | 3715 Northside Pkwy Nw, Atlanta, GA 30327-2886 | 2018-09-29 |
| 1093175549 | Blue Ridge Senior Housing, LLC | Assisted Living Facility | 3715 Northside Pkwy Nw, Building 300, Suite 110, Atlanta, GA 30327-2882 | 2016-02-26 |
| 1023474582 | Virginia Souris Keating | Nurse Practitioner | 3715 Northside Pkwy Nw, 400 Northcreek, Ste. 150, Atlanta, GA 30327-2882 | 2016-01-13 |
| 1629445192 | Mariana Sirbu | Nurse Practitioner | 3715 Northside Pkwy Nw, Atlanta, GA 30327-2882 | 2015-08-31 |
| 1013336759 | Denise Tracy | Nurse Practitioner | 3715 Northside Pkwy Nw, Atlanta, GA 30327-2882 | 2014-04-09 |
| 1194076539 | Songeun Choi | Nurse Practitioner | 3715 Northside Pkwy Nw, Bldg 200 Suite 100, Atlanta, GA 30327-2882 | 2012-09-25 |
| 1356545289 | John G Keating | Specialist | 3715 Northside Pkwy Nw, Building 400 Suite 150, Atlanta, GA 30327-2806 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
| 1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
| 1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
| 1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
| 1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
| 1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
| 1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
| 1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.