Organization Active NPI

Lovejoy Family Practice Inc.

  • Clinic/Center
  • Hampton, GA
National Provider Identifier
1053725184
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
RN128161 Issued in GA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1114058203OtherPROVIDER NPI
003109743AMedicaidGA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.