A Place Like Home Respite Care Services

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

A PLACE LIKE HOME RESPITE CARE SERVICES

Practice address

1269 Nathan Mauldin Dr
Lawrenceville, GA 30043-7249

Phone

(470) 263-2806

Fax

(802) 365-8491

NPI assigned

Dec 8, 2023

Last updated

Dec 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory A Wilkerson Jr., AGACNP-BCNPI 1053950246

Title

Provider/Owner

Phone

(678) 468-8672

Specialties & licenses 1

Addresses

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.

• Gregory Wilkerson, AGACNP-BC

  • Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1053950246
  NPD Authorized official

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1104693225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 NATHAN MAULDIN DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437249",
            "telephone_number": "470-263-2806",
            "fax_number": "802-365-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 NATHAN MAULDIN DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437249",
            "telephone_number": "470-263-2806",
            "fax_number": "802-365-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLACE LIKE HOME RESPITE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "678-468-8672",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.