Provider Demographics
NPI:1558493205
Name:CASADAY, JULIE CHOE (CNS)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:CHOE
Last Name:CASADAY
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:CHOE
Other - Last Name:ANTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:445 WINN WAY
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1707
Mailing Address - Country:US
Mailing Address - Phone:404-508-7796
Mailing Address - Fax:404-294-3710
Practice Address - Street 1:3110 CLIFTON SPRINGS RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-4600
Practice Address - Country:US
Practice Address - Phone:404-243-9500
Practice Address - Fax:404-244-2224
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN114781 CNS-PMH364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAQ13500Medicare UPIN
GA89BBBHPMedicare ID - Type Unspecified