Active NPI
Ladonna Bridges, NP
- Family Nurse Practitioner
- Macon, GA
National Provider Identifier
1154375913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN085282
- Practice address
- 210 Mercer JCT
Macon, GA 31210-4016 - Phone
- (478) 471-8593
- Fax
- (478) 471-8599
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN085282 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN085282 | GA | Primary |
Addresses
Primary practice location
210 Mercer JCT
Macon, GA 31210-4016
Mailing address
306 Autumn Woods Dr
Warner Robins, GA 31088-6762
Phone (478) 987-6810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006362189A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burton Medical Group LLC | Past | Accepting new patients | |
| Health Services of Central Georgia, Inc | Past | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAHBAA
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Macon, GA
- NPI 1508169426
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1154375913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 AUTUMN WOODS DR",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310886762",
"telephone_number": "478-987-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MERCER JCT",
"city": "MACON",
"state": "GA",
"postal_code": "312104016",
"telephone_number": "478-471-8593",
"fax_number": "478-471-8599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "LADONNA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN085282",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN085282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006362189A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.