Healthcare Provider Details

I. General information

NPI: 1609792126
Provider Name (Legal Business Name): JOHN COREY NORTON NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1348 WALTON WAY
AUGUSTA GA
30901-5104
US

IV. Provider business mailing address

1348 WALTON WAY
AUGUSTA GA
30901-5104
US

V. Phone/Fax

Practice location:
  • Phone: 706-724-8611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN278593
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: