Healthcare Provider Details

I. General information

NPI: 1851683080
Provider Name (Legal Business Name): KARA WOCHELE HOGAN RN, PNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2011
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5461 MERIDIAN MARK RD STE 507
ATLANTA GA
30342-3007
US

IV. Provider business mailing address

5461 MERIDIAN MARK RD STE 507
ATLANTA GA
30342-3007
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-6895
  • Fax: 404-785-6896
Mailing address:
  • Phone: 404-785-6895
  • Fax: 404-785-6896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberRN200557
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: