Individual provider Active NPI

Erin De Los Reyes, NP-C, APRN

  • Family Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1174992192
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN200121 Issued in GA
Practice address
1605 Highway 34 E
Suite A2
Newnan, GA 30265-2191
Phone
(770) 251-2000
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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 RN200121 GA Primary

Addresses

Primary practice location

1605 Highway 34 E
Suite A2
Newnan, GA 30265-2191

Mailing address

1605 Highway 34 E
Suite A2
Newnan, GA 30265-2191
Phone (770) 251-2000

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
I20171023002183 GA Practitioner - Nurse Practitioner 2264708056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Allergy and Asthma of Georgia PCGroup PAC ID 2062460785, 10 clinicians

Practice addresses (Care Compare)

690 Dallas Hwy
Suite 101
Villa Rica, GA 30180-1262
Phone (770) 459-0620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN200121GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Allergy & Asthma of Georgia PC CurrentSince Feb 7, 2018 Accepting new patients
Miles Family Medicine, LLC PastSince Sep 19, 2008 Accepting new patients
Center for Allergy and Asthma Southern Crescent PastSince May 3, 2020 Accepting new patients

Locations

825 Dixie St
Carrollton, GA 30117

223 W College St
Griffin, GA 30224

3104 Creekside Village Dr NW
Ste 504
Kennesaw, GA 30144
Phone (770) 966-0778

1615 Highway 34 E
#A
Newnan, GA 30265

1975 Highway 54 W
Ste 255
Peachtree City, GA 30269

1675 Cumberland Pkwy SE
Ste 407
Smyrna, GA 30080

690 Dallas Hwy
Ste 101
Villa Rica, GA 30180

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.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1174992192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HIGHWAY 34 E",
            "address_2": "SUITE A2",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652191",
            "telephone_number": "770-251-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HIGHWAY 34 E",
            "address_2": "SUITE A2",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652191",
            "telephone_number": "770-251-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS REYES",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "NP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN200121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.