CMS NPPES uses NUCC taxonomy code 363LA2200X for provider records classified as Adult Health within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
GA license #155058taxonomy 363LA2200X
Nurse Practitioner
CMS NPPES uses NUCC taxonomy code 363LF0000X for provider records classified as Family within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
GA license #155058taxonomy 363LF0000X
Identifiers
Type
Value
Notes
05 (GA)
003150976A
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
526 members
Largest listed enrollment group
Facility affiliations reported by CMS
Piedmont Providers Llc
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. 93 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
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