CALLIE LOGAN DNP FNP-C APRN
NPI 1972901759
Nurse Practitioner - Family in Lawrenceville, GA

Q: What is Callie Logan's NPI number?

The NPI number for Callie Logan is 1972901759. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Q: What is Callie Logan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Callie Logan was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since December 10, 2014PECOS Enrolled

1880 BRASELTON HWY STE 118, LAWRENCEVILLE, GA 30043(404) 825-3127 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2020, Nov 20, 2018, Nov 30, 2017 (3 updates tracked since 2017).

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About Callie Logan Dnp Fnp-c Aprn NPPES

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

CALLIE LOGAN DNP FNP-C APRN (NPI 1972901759) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN214237) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972901759

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCALLIE LOGANCredential: DNP FNP-C APRN

Location Address1880 BRASELTON HWY STE 118Lawrenceville, GA 30043-2877

Mailing Address1880 Braselton Hwy Ste 118Lawrenceville, GA 30043-2877 · (404) 825-3127

Phone(404) 825-3127

Sole ProprietorNo

Enumeration DateDecember 10, 2014

Last NPPES UpdateOctober 16, 20253 updates tracked since enumeration

NPPES CertifiedOctober 16, 2025

✔ NPI 1972901759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN214237

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN214237 (GA)

1880 BRASELTON HWY STE 118, Lawrenceville, GA 30043

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Callie Logan Dnp Fnp-c Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

INFINITY ASD SERVICES, LLC

Non-emergency Medical Transport (VAN)