Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DR. CORETTA D. GERVIN HEALTHCARE
Active
Organization
DR. CORETTA D. GERVIN HEALTHCARE
Active
Parent organization
CDG HEALTHCARE PROVIDER, P.C.
Other names
CDG Healthcare Provider, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CDG HEALTHCARE PROVIDER, P.C.
Authorized official
DR. CORETTA DELIA KEITH DNP, FNP-BC (CEO)
(404) 710-6646
Entity
Organization
Contact information
Practice address
414 N WESTOVER BLVD STE D1, ALBANY, GA 31707-2102
(404) 710-6646
(229) 234-1391
Mailing address
414 N WESTOVER BLVD STE D1, ALBANY, GA 31707-2102
(404) 710-6466
(229) 389-2573
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/04/2020
Last updated
08/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers