L&D Medical Center, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

L&D MEDICAL CENTER, LLC

Practice address

5041 Dallas Hwy Ste G
Powder Springs, GA 30127-6458

Phone

(855) 722-3563

NPI assigned

Jul 27, 2020

Organization subpart

No

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

Authorized official

Name

Douglas Cox, NP-CNPI 1710369012

Title

Owner

Phone

(678) 612-9101

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

LD Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Atlanta Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Suwanee, GA
  • NPI 1881014801
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Cox, FNP-C

  • Family Nurse Practitioner
  • Douglasville, GA
  • NPI 1710369012
  Medicare reassignment NPD Authorized official
• Robert J Blackwell, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • North Charleston, SC
  • NPI 1407887201

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1225647274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 DALLAS HWY STE G",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276458",
            "telephone_number": "855-722-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 DALLAS HWY STE G",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276458",
            "telephone_number": "855-722-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&D MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-612-9101",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kleiman LLC
• Klemako Medical Supplies Inc.
• Mark Allan Knautz, MEDICAL DOCTOR
• Deja Shari Koenig, NP
• Carolus Korie
• Zinny Akunna Lambert, RN
• Afolasade Lawal
• Sherease Nicole Lawson, PCD,PCPD
• Joseph Glenn Lee, RPA, RA
• Lenora Care LLC

• Family Nurse Practitioner in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.