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Johanne Dastine-Coriolan, NP

NPI 1063009470ActiveIndividual· Nurse Practitioner, Gerontology· Loganville, GA

Nurse Practitioner, Gerontology (NP) in Loganville, Georgia, licensed in GA, with an NPI issued in December 2020.

Overview

NPI1063009470
StatusActive
Entity typeIndividual
CredentialNP
Sole proprietorYes
NPI issuedDec 31, 2020
Last updated in NPPESDec 31, 2020
Certified by providerDec 31, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Gerontology Primary363LG0600XRN208229GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other gerontology nurse practitioners in Loganville

All gerontology nurse practitioners in Georgia