Organization Active NPI

Lanier Medcare,P.C.

  • Internal Medicine Physician
  • Buford, GA
National Provider Identifier
1184813453
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038059 Issued in GA
Legal business name
LANIER MEDCARE,P.C.
Practice address
4995 Lanier Islands Pkwy Ste a
Buford, GA 30518-1741
Phone
(678) 546-5059
Fax
(678) 546-5470
NPI assigned
Oct 23, 2007
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Miss Wendy A Armenti
Title
Office Manager
Phone
(678) 546-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038059 GA Primary

Addresses

Primary practice location

4995 Lanier Islands Pkwy Ste a
Buford, GA 30518-1741

Mailing address

4995 Lanier Islands Pkwy Ste a
Buford, GA 30518-1741
Phone (678) 546-5059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120110000427 GA Part B Supplier - Clinic/Group Practice 7214103464 Receives reassigned benefits from 1 practitioner
Practice locations: Buford, GA

National Provider Directory

National Provider Directory

Locations

4995 Lanier Islands Pkwy
Ste A
Buford, GA 30518
Phone (678) 546-5059

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1184813453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 LANIER ISLANDS PKWY STE A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181741",
            "telephone_number": "678-546-5059",
            "fax_number": "678-546-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 LANIER ISLANDS PKWY STE A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181741",
            "telephone_number": "678-546-5059",
            "fax_number": "678-546-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANIER MEDCARE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "ARMENTI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-546-5059",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "038059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.