Active NPI
Erin De Los Reyes, NP-C, APRN
- Family Nurse Practitioner
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN200121
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN200121 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Allergy & Asthma of Georgia PC | Current | Accepting new patients | |
| Miles Family Medicine, LLC | Past | Accepting new patients | |
| Center for Allergy and Asthma Southern Crescent | Past | 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.
-
- Allergy & Immunology Physician
- Villa Rica, GA
- NPI 1578504536
-
- Allergy & Immunology Physician
- Peachtree City, GA
- NPI 1750902185
-
- Primary Care Clinic/Center
- Newnan, GA
- NPI 1659523207
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.