NPI 1669396602 · live from the CMS NPI Registry
Patricia Berniece Cargill
Registered Nurse in Decatur, GA. National Provider Identifier 1669396602, active.
NPI record
| NPI | 1669396602 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 6707 Treecrest Pkwy, Decatur, GA 30035 |
| Practice phone | 678-949-3994 |
| Enumerated | August 4, 2026 |
| Last updated | August 4, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Case Management | 163WC0400X | RN182440 (GA) |
| Registered Nurse, Community Health | 163WC1500X | RN182440 (GA) |
| Registered Nurse, Continuing Education/Staff Development | 163WC1600X | RN182440 (GA) |
| Registered Nurse, Gerontology | 163WG0600X | RN182440 (GA) |
| Registered Nurse, Hospice | 163WH1000X | RN182440 (GA) |
| Registered Nurse primary | 163W00000X | RN182440 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.