Healthcare Provider Details

I. General information

NPI: 1174158448
Provider Name (Legal Business Name): CATHERINE SEVIER NADING FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2020
Last Update Date: 10/18/2025
Certification Date: 10/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4488 N SHALLOWFORD RD STE 100
DUNWOODY GA
30338-6428
US

IV. Provider business mailing address

1301 RESERVE DR NE
BROOKHAVEN GA
30319-5903
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-6920
  • Fax:
Mailing address:
  • Phone: 317-517-7176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number249763
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: