MEDICARE: DR. ALCENIA COLEMAN RN, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0400X	Case Management Registered Nurse	RN163373	GA
2	163WM0102X	Maternal Newborn Registered Nurse	RN163373	GA
3	163WP1700X	Perinatal Registered Nurse	RN163373	GA
4	172V00000X	Community Health Worker	RN163373	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679647507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALCENIA COLEMAN RN, PHD

Provider Business Mailing Address
First Line	:	PO BOX 258
Second Line	:
City	:	MORROW
State	:	GA
Zip	:	30260-0258
Country	:	US
Telephone Number	:	404-664-6183
Fax Number	:

Provider Business Practice Location Address
First Line	:	6728 CHESEPEAKE TRL
Second Line	:
City	:	REX
State	:	GA
Zip	:	30273-2229
Country	:	US
Telephone Number	:	404-664-6183
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/15/2013

Similar Medicare Providers

1063853364 — CMO OF GEORGIA, LLC
Practice Location Address:

6728 CHESEPEAKE TRL
REX, GA
30273-2229

Practice Phone: 404-664-6183
Practice Fax:

1316388457 — COLEMAN ENTERPRISES & ASSOCIATES, INC
Practice Location Address:

6728 CHESEPEAKE TRL
REX, GA
30273-2229

Practice Phone: 404-664-6183
Practice Fax:

1235571324 — INSTRUCTIVE VISITING NURSE SERVICE, LLC
Practice Location Address:

6728 CHESEPEAKE TRL
REX, GA
30273-2229

Practice Phone: 404-664-6183
Practice Fax:

1134561897 — INSTRUCTIVE VISITING NURSE SERVICE, LLC
Practice Location Address:

6728 CHESEPEAKE TRL
REX, GA
30273-2229

Practice Phone: 404-664-6183
Practice Fax:

1962353870 — GEORGIA MAE BROOKS PMHNP-BC
Practice Location Address:

304 BARR CIR
REX, GA
30273-1441

Practice Phone: 678-788-4948
Practice Fax:

1780639518 — JOVANS PHARMACY CORP
Practice Location Address:

6001 HIGHWAY 42
REX, GA
30273-1030

Practice Phone: 770-968-5800
Practice Fax: 770-968-5855

Directions to “ DR. ALCENIA COLEMAN RN, PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.