Individual ProviderNancy CallowayNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6325 Hospital Pkwy, Suite 111, Johns Creek, GA 30097-5775(404) 778-8311PECOS EnrollmentBased on the most recent information from CMS, provider Nancy Calloway does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:24 AM.Profile DetailsProvider ID1528377124Provider TypeIndividualFull NameCalloway, NancyTitleMs.CredentialNP-CGenderFemaleSole ProprietorNoEnumeration Date9/29/2010Last Updated9/29/2010Contact InformationPractice LocationPractice Address6325 Hospital Pkwy, Suite 111, Johns Creek, GA 30097-5775Phone(404) 778-8311Fax(770) 495-1585Mailing LocationMailing Address6325 Hospital Pkwy, Suite 111, Johns Creek, GA 30097-5775Phone(404) 778-8311Fax(770) 495-1585Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN125738Georgia