Active NPI
Samreen Bhimani I, NP-C
- Family Nurse Practitioner
- Lawrenceville, GA
National Provider Identifier
1174983696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN202217
- Practice address
- Family Medical Clinic of Lawrenceville, LLC
2522 Cruse Road Suite C-2
Lawrenceville, GA 30044 - Phone
- (678) 225-5540
- Fax
- (678) 225-5541
- NPI assigned
- Feb 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN202217 | GA | Primary |
Addresses
Primary practice location
Family Medical Clinic of Lawrenceville, LLC
2522 Cruse Road Suite C-2
Lawrenceville, GA 30044
Mailing address
1829 Hedge Rose Dr NE
Atlanta, GA 30324-2784
Phone (404) 201-0728
Other practice location 1
3660 Market St
Clarkston, GA 30021-1246
Phone (470) 355-7896
Other names 1
- Samreen Lakhani
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S4 Smart Family Care LLC | Current | Accepting new patients | |
| Amina Medical Consultants PC | Current | Accepting new patients |
Locations
2840 Ne
Ste 116
Atlanta, GA 30345
Phone (404) 201-0125
2840 Ne
Atlanta, GA 30345
Phone (404) 929-1402
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ICCHDD/Endpoint/ICCHDD
Organizations & group practices 2
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
- Atlanta, GA
- NPI 1720895923
-
- Primary Care Clinic/Center
- Atlanta, GA
- NPI 1780083188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1174983696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 HEDGE ROSE DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303242784",
"telephone_number": "404-201-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAMILY MEDICAL CLINIC OF LAWRENCEVILLE, LLC",
"address_2": "2522 CRUSE ROAD SUITE C-2",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30044",
"telephone_number": "678-225-5540",
"fax_number": "678-225-5541"
}
],
"practiceLocations": [
{
"address_1": "3660 Market St",
"address_purpose": "LOCATION",
"city": "Clarkston",
"state": "GA",
"postal_code": "300211246",
"country_code": "US",
"telephone_number": "470-355-7896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHIMANI",
"first_name": "SAMREEN",
"name_suffix": "I",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-25",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN202217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMREEN",
"last_name": "LAKHANI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.