CMS NPPES uses NUCC taxonomy code 363LW0102X for provider records classified as Women's Health within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
GA license #RN163859taxonomy 363LW0102X
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.
Medicare specialties
Nurse Practitioner
Largest Medicare group
823 members
Largest listed enrollment group
Facility affiliations reported by CMS
The Southeast Permanente Medical Group
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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