ASCENDE HEALTHCARE
NPI 1902423163
Nurse Practitioner - Family in Lawrenceville, GA

Active since July 02, 2020CLIA 11D2216419 · Waiver
1880 BRASELTON HWY STE 118, LAWRENCEVILLE, GA 30043(770) 322-4373(912) 214-2143 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2022, Jul 2, 2020 (2 updates tracked since 2020).

About Ascende Healthcare NPPES

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

ASCENDE HEALTHCARE (NPI 1902423163) is a healthcare organization registered as a family in Lawrenceville, Georgia and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Callie Logan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902423163
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameASCENDE HEALTHCARE
Location Address1880 BRASELTON HWY STE 118Lawrenceville, GA 30043-2877
Mailing Address1880 Braselton Hwy Ste 118Lawrenceville, GA 30043-2877 · (770) 322-4373 · Fax (912) 214-2143
Fax(912) 214-2143
Organization SubpartNo
Authorized OfficialCallie LoganCeo · (770) 322-4373
Enumeration DateJuly 2, 2020
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1902423163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1880 BRASELTON HWY STE 118, Lawrenceville, GA 30043

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2216419

Ascende Healthcare · Lawrenceville, GA
Active · expires Mar 11, 2027
CLIA Number11D2216419
Laboratory TypePractitioner Other
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorCallie L. Logan
Laboratory Phone(770) 609-5959
Laboratory LocationAscende Healthcare1880 Braselton Highway Suite 118 #5204, Lawrenceville, GA 30043
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-emergency Medical Transport (VAN)
1880 BRASELTON HWY STE 118
LAWRENCEVILLE, GA 30043
Clinic/Center (Health Service)
1880 BRASELTON HWY STE 118
LAWRENCEVILLE, GA 30043
Counselor (Professional)
1880 BRASELTON HWY STE 118
LAWRENCEVILLE, GA 30043
Nurse Practitioner (Psychiatric/Mental Health)
1880 BRASELTON HWY STE 118
LAWRENCEVILLE, GA 30043
Clinic/Center (Mental Health (Including Community Mental Health Center))
1880 BRASELTON HWY STE 118
LAWRENCEVILLE, GA 30043
Non-emergency Medical Transport (VAN)
1880 BRASELTON HWY STE 118
LAWRENCEVILLE, GA 30043
Nurse Practitioner (Family)
1880 BRASELTON HWY STE 118
LAWRENCEVILLE, GA 30043

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 Ascende Healthcare's NPI number?

The NPI number for Ascende Healthcare is 1902423163. It was assigned to this organization in the NPPES registry on July 2, 2020.

Where is Ascende Healthcare located?

Ascende Healthcare is located at 1880 Braselton Hwy Ste 118, Lawrenceville, GA 30043. The listed phone number is (770) 322-4373.

What is Ascende Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Ascende Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2216419) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ascende Healthcare was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.