Healthcare Provider Details

I. General information

NPI: 1326900556
Provider Name (Legal Business Name): CATRINA MCCLOUD LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4083 CLOUD SPRINGS RD
RINGGOLD GA
30736-8411
US

IV. Provider business mailing address

PO BOX 1874
ELLIJAY GA
30540-0022
US

V. Phone/Fax

Practice location:
  • Phone: 877-848-9810
  • Fax:
Mailing address:
  • Phone: 678-276-6252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN084845
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: