Individual provider Active NPI

Hamere Eshete, FNP

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1205621836
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP334083 Issued in GA
Practice address
575 Professional Dr Ste 360
Lawrenceville, GA 30046-3399
Phone
(404) 800-3313
Fax
(404) 726-8813
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 APRN-NP334083 GA Primary

Addresses

Primary practice location

575 Professional Dr Ste 360
Lawrenceville, GA 30046-3399

Mailing address

575 Professional Dr Ste 360
Lawrenceville, GA 30046-3399
Phone (404) 800-3313

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
I20250815002257 GA Practitioner - Nurse Practitioner 7719486877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

575 Professional Dr
Suite 360
Lawrenceville, GA 30046-3399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP334083GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Kidney Clinic LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

575 Professional Dr
Ste 360
Lawrenceville, GA 30046
Phone (404) 731-6033

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCBADD/Endpoint/HCBADD

Organizations & group practices 1

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1205621836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 PROFESSIONAL DR STE 360",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463399",
            "telephone_number": "404-800-3313",
            "fax_number": "404-726-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 PROFESSIONAL DR STE 360",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463399",
            "telephone_number": "404-800-3313",
            "fax_number": "404-726-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHETE",
        "first_name": "HAMERE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP334083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.