Individual provider Active NPI

Samreen Bhimani I, NP-C

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1174983696
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN202217 Issued in GA
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

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20200407002817 GA Practitioner - Nurse Practitioner 4789013020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
S4 Smart Family Care LLC CurrentSince Apr 2, 2025 Accepting new patients
Amina Medical Consultants PC CurrentSince Apr 2, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.