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CDG HEALTHCARE PROVIDER, P.C.
NPI 1467091629
Registered Nurse - Home Health in Albany, GA

Active since January 04, 2020
414 N WESTOVER BLVD STE D1, ALBANY, GA 31707(404) 710-6646(229) 234-1391 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2023, Jun 4, 2021, May 4, 2021 and 1 more (4 updates tracked since 2020).

About Cdg Healthcare Provider, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CDG HEALTHCARE PROVIDER, P.C. (NPI 1467091629) is a healthcare organization registered as a home health in Albany, Georgia and active in the NPI registry since January 2020. The organization lists Coretta Delia Keith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467091629
Entity TypeOrganization
Primary Taxonomy163WH0200X
Legal Business NameDR. CORETTA D. GERVIN HEALTHCARE
Location Address414 N WESTOVER BLVD STE D1Albany, GA 31707-2102
Mailing Address414 N Westover Blvd Ste D1Albany, GA 31707-2102 · (404) 710-6466 · Fax (229) 389-2573
Phone(404) 710-6646
Fax(229) 234-1391
Organization SubpartYesParent: Cdg Healthcare Provider, P.c.
Authorized OfficialCoretta Delia KeithCeo · (404) 710-6646
Enumeration DateJanuary 4, 2020
Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1467091629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
Also ListedNurse PractitionerTaxonomy 363L00000X
414 N WESTOVER BLVD STE D1, Albany, GA 31707
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Other Names 1

Doing Business AsCdg Healthcare Provider, P.c.

Other Identifiers 2

Medicaid003239804AGA
Medicaid003239804BGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Coretta D. Gervin Healthcare's NPI number?

The NPI number for Dr. Coretta D. Gervin Healthcare is 1467091629. It was assigned to this organization in the NPPES registry on January 4, 2020. The provider is doing business as Cdg Healthcare Provider, P.C..

Where is Dr. Coretta D. Gervin Healthcare located?

Dr. Coretta D. Gervin Healthcare is located at 414 N Westover Blvd Ste D1, Albany, GA 31707. The listed phone number is (404) 710-6646.

What is Dr. Coretta D. Gervin Healthcare's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Dr. Coretta D. Gervin Healthcare was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.