Individual provider Active NPI

Cindy Pratt, MD

  • Nurse Practitioner
  • Douglasville, GA
National Provider Identifier
1114990595
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN066085 Issued in GA
Practice address
8820 Hospital Dr
Douglasville, GA 30134-2266
Phone
(770) 947-3000
Fax
(770) 947-3012
NPI assigned
Feb 8, 2006
Last updated
Jul 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN066085 GA Primary

Addresses

Primary practice location

8820 Hospital Dr
Douglasville, GA 30134-2266

Mailing address

8820 Hospital Dr
Douglasville, GA 30134-2266
Phone (770) 947-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080429000829 GA Practitioner - Nurse Practitioner 2264511484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifetime Family Medicine,LLCGroup PAC ID 3577646736, 6 clinicians

Practice addresses (Care Compare)

7869 Villa Rica Hwy
Dallas, GA 30157-8638
Phone (770) 459-8449

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN066085GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Family Medicine,LLC CurrentSince Apr 1, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 1, 2011 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 1, 2011 Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients
Temple Medical LLC PastSince Apr 1, 2025 Accepting new patients
Wellstar Douglasville Medical Center, LLC Past Accepting new patients

Locations

7869 Villa Rica Hwy
Dallas, GA 30157
Phone (770) 456-3333

8820 Hospital Dr
Douglasville, GA 30134
Phone (678) 480-4034

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

431 Sage St
Temple, GA 30179
Phone (770) 562-9007

401 Permian Way
Ste A
Villa Rica, GA 30180
Phone (678) 840-4034

Interoperability endpoints

  • Direct secure messaging: cpratt9641@directwellstar.org
  • FHIR API: https://api.platform.athenahealth.com/1369/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1114990595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 HOSPITAL DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342266",
            "telephone_number": "770-947-3000",
            "fax_number": "770-947-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 HOSPITAL DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342266",
            "telephone_number": "770-947-3000",
            "fax_number": "770-947-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "CINDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN066085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.