CORACCESS INC NPI 1558625319

NPI Information

  • NPI: 1558625319
  • Provider Name: CORACCESS, INC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 1478 LEAFVIEW RD
    DECATUR, GA
    ZIP 30033
  • Phone: (678) 462-9734

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NPI Details

CORACCESS, INC is a surgical physician assistant in Decatur, GA. CORACCESS, INC NPI is 1558625319. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1478 LEAFVIEW RD
DECATUR, GA
ZIP 30033-112
Phone: (678) 462-9734

The provider's authorized official is Charles David Foreman .
The authorized official title is Physician Assistant and has the following contact phone number (678) 462-9734.

The enumeration date for this NPI number is 6/26/2012 and was last updated on 5/13/2013.

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
1363AS0400XPhysician AssistantSurgical003373GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1363A00000XOTHERGEORGIATAXONOMY
2P57508MEDICARE UPINGEORGIA

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: 11/21/2025

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