Individual provider Active NPI

Karen Lolley, NP-C

  • Family Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1013446426
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN169781 Issued in GA
Practice address
443 Gillum Dr Ste 3
Dalton, GA 30721-1667
Phone
(706) 229-9709
Fax
(706) 229-9779
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN169781 GA Primary

Addresses

Primary practice location

443 Gillum Dr Ste 3
Dalton, GA 30721-1667

Mailing address

443 Gillum Dr Ste 3
Dalton, GA 30721-1667
Phone (706) 229-9709

Other identifiers 1

IdentifierTypeStateIssuer
1013446426OtherGANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231010002449 TN Practitioner - Nurse Practitioner 6901251024 Reassigns benefits to 1 organization
I20231019002909 GA Practitioner - Nurse Practitioner 6901251024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

443 Gillum Dr
Suite 3
Dalton, GA 30721-1667
Phone (706) 229-9709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33788TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
All Family Care LLC CurrentSince Dec 5, 2024 Accepting new patients
DX Mso of Georgia LLC CurrentSince Sep 9, 2023 Accepting new patients
DX Mso, PLLC CurrentSince Aug 29, 2023 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC PastSince Aug 29, 2023 Accepting new patients

Locations

443 Gillum Dr
Ste 3
Dalton, GA 30721
Phone (706) 229-9709

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1521 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25340/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1013446426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 GILLUM DR STE 3",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307211667",
            "telephone_number": "706-229-9709",
            "fax_number": "833-940-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 GILLUM DR STE 3",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307211667",
            "telephone_number": "706-229-9709",
            "fax_number": "706-229-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLEY",
        "first_name": "KAREN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN169781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013446426",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.