P Praxis·MD
● Active Type 1 · Individual

Johanne Dastine-Coriolan, NP

Nurse Practitioner·Loganville, GA· NPI 1063009470 · Enumerated 2020 · 5 years on NPI
Dastine-Coriolan is 1 of 3 nurse practitioner providers in Loganville and 1 of 280 in Georgia.
NPI age
5 years
Enumerated 2020-12-31
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-12-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 280 active nurse practitioner providers in Georgia.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-12Enumerated in NPPES
2020 2026

Where they practice

Practice location
4344 Grove Lake St
Loganville, GA 300528155
📞 7706961350
Mailing address
4344 Grove Lake St
Loganville, GA 300528155
📞 7706961350

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN208229 taxonomy 363LG0600X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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