Lady of Mercy'S Telehealth Services LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LADY OF MERCY'S TELEHEALTH SERVICES LLC

Practice address

5101 Lealand Place LN # 5101
Lawrenceville, GA 30044-8305

Phone

(770) 256-3765

NPI assigned

Apr 8, 2025

Organization subpart

No

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

Authorized official

Name

Krystal K Predeoux

Title

Director

Phone

(770) 256-3765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David L Howard, MD, PHD

  • Obstetrics Physician
  • Las Vegas, NV
  • NPI 1568640159

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1073307641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 LEALAND PLACE LN # 5101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448305",
            "telephone_number": "770-256-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 LEALAND PLACE LN # 5101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448305",
            "telephone_number": "770-256-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY OF MERCY'S TELEHEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "PREDEOUX",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-256-3765"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Marie Lacey, NP-C
• Catherine Oddi Lachance, D.P.T.
• Marie Sabine Lacossiere-Charles, FNP
• Karief Janeel Lacroix, CNM
• Rachel Kelli Lacy, PSY.D.
• Cassandra Lafave
• Lai Drug Company Inc
• Ambreen Lakhani, DMD
• Arun Lakhanpal I, M.D.
• Neena Lal, MD

• Primary Care Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.