RAISA MARY COLON NP NPI 1104582931

NPI Information

NPI: 1104582931
Provider Name: RAISA MARY COLON, NP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
2467 GOLDEN CAMP RD
AUGUSTA, GA
ZIP 30906
Phone: (706) 790-4440
Get Directions

Raisa Mary Colon, NP is an obstetrics and gynecology nurse practitioner in Augusta, GA with 3 years of experience. Raisa Mary Colon, NP NPI is 1104582931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2467 GOLDEN CAMP RD
AUGUSTA, GA
ZIP 30906-515
Phone: (706) 790-4440

The NPI 1104582931 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2021 and was last updated on 5/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	NP000359	GEORGIA	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	GAA-NP000359	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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