NPI age
6 years
Enumerated 2020-01-04
● Active Type 2 · Organization
Subpart
Dr. Coretta D. Gervin Healthcare
Dr. Coretta D. Gervin Healthcare is 1 of 243 registered nurse organizations in Georgia.
Primary specialty
Registered Nurse
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Keith
Ceo
Last NPPES update
2023-08-10
Source: monthly bulk 2026-05
How this organization compares
Across 243 active registered nurse providers in Georgia.
NPI age
6 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
414 N Westover Blvd Ste D1
Albany, GA 317072102
Mailing address
414 N Westover Blvd Ste D1
Albany, GA 317072102
Authorized official
Coretta Delia Keith, DNP, FNP-BC
Ceo
📞 4047106646
Specialties
-
Registered Nurse PrimaryDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003239804A | |
| 05 (GA) | 003239804B |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
CDG Healthcare Provider, P.C.
Practice context
Single-site organization. Only one practice location on file.
Subpart of Cdg Healthcare Provider, P.c..
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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