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Nicole Coolidge, CPNP

Nurse Practitioner, Family in Atlanta, GA. Individual provider (NPI-1).

NPI number1003207804
StatusActive
Last updated in NPPESJan 21, 2026

Details

NPI
1003207804
Entity type
Individual (NPI-1)
Name
Nicole Coolidge
Credential
CPNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 15, 2015
Certification date
Jan 21, 2026
Last updated
Jan 21, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · ORDER AND REFERRING ONLY - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN191595GAYes

Practice location

2220 N Druid Hills Rd Ne
Atlanta, GA 30329-3117

Phone 404-785-7683 · Fax 404-785-6266

Mailing address

2220 N Druid Hills Rd Ne
Atlanta, GA 30329-3117

Phone 404-785-7683 · Fax 404-785-6266

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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