Individual provider Active NPI

Lanie Welch, FNP-C

  • Family Nurse Practitioner
  • Dublin, GA
National Provider Identifier
1205265683
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN175924 Issued in GA
Practice address
1110 Hillcrest Pkwy
Dublin, GA 31021-3687
Phone
(912) 245-1145
NPI assigned
Nov 5, 2013
Last updated
Aug 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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 RN175924 GA Primary

Addresses

Primary practice location

1110 Hillcrest Pkwy
Dublin, GA 31021-3687

Mailing address

PO Box 16100
Dublin, GA 31040-6100
Phone (912) 245-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140331001029 GA Practitioner - Nurse Practitioner 0547491839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN175924GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accordia Healthcare LLC CurrentSince Apr 1, 2014 Accepting new patients

Locations

2201 Veterans Blvd
Dublin, GA 31021
Phone (478) 205-5312

125 Church St
Ste 200
Vidalia, GA 30474
Phone (912) 274-6010

3193 E 1st St
Vidalia, GA 30474
Phone (912) 537-8588

1205 Russell Pkwy
Warner Robins, GA 31088
Phone (478) 302-5729

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1205265683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16100",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310406100",
            "telephone_number": "912-245-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HILLCREST PKWY",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213687",
            "telephone_number": "912-245-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "LANIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN175924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.