Luis Felipe Lopez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN220963 Issued in GA

Practice address

1060 Veterans Memorial Hwy SW
Mableton, GA 30126-3106

Phone

(770) 672-6903

Fax

(770) 485-7398

NPI assigned

Mar 18, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: grupomedico.luisflopez@160619.advancedmd-direct.com

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1144681016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 LAKESHORE DR SW",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823037",
            "telephone_number": "305-546-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 VETERANS MEMORIAL HWY SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263106",
            "telephone_number": "770-672-6903",
            "fax_number": "770-485-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LUIS",
        "middle_name": "FELIPE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-18",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN220963",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abraham Lo
• Christie Cheeyoung Oh Lo, GNP
• Danielle Denise Long
• Thomas Long
• Toni Long, LPC
• Loriquen Holdings Dba Kinkistry
• Nyla A Lotus, FNP
• Love Is Life Healthcare & Wellness
• Lovefahhaair
• Loving Care Family Services, LLC

• Family Nurse Practitioner in Mableton, GA
• Providers in Mableton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.