Active NPI
Lovejoy Family Practice Inc.
- Clinic/Center
- Hampton, GA
National Provider Identifier
1053725184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- RN128161
- Legal business name
- LOVEJOY FAMILY PRACTICE INC.
- Practice address
- 1883 McDonough Rd
Suite 200-D
Hampton, GA 30228-3516 - Phone
- (678) 545-6775
- NPI assigned
- Jun 17, 2014
- Last updated
- Jun 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Jenkins, APRN FNP-BC
- Title
- Owner Provider
- Phone
- (678) 545-6775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | RN128161 | GA | Primary |
Addresses
Primary practice location
1883 McDonough Rd
Suite 200-D
Hampton, GA 30228-3516
Mailing address
962 Forest GLN
Jonesboro, GA 30238-8829
Phone (678) 545-6775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114058203 | Other | PROVIDER NPI | |
| 003109743A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1883 McDonough Rd
Bldg 200-D
Lovejoy, GA 30228
Phone (678) 545-6775
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Jonesboro, GA
- NPI 1114058203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402963200000",
"number": "1053725184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "962 FOREST GLN",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302388829",
"telephone_number": "678-545-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1883 MCDONOUGH RD",
"address_2": "SUITE 200-D",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302283516",
"telephone_number": "678-545-6775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVEJOY FAMILY PRACTICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-17",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "OWNER PROVIDER",
"authorized_official_telephone_number": "678-545-6775",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN FNP-BC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "GA",
"license": "RN128161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NPI",
"identifier": "1114058203",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003109743A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.