Individual provider Active NPI

Whitney Quinlan Lipsey, NP

  • Family Nurse Practitioner
  • Suwanee, GA
National Provider Identifier
1265897326
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN214040 Issued in GA
Practice address
3890 Johns Creek Pkwy Ste 360
Suwanee, GA 30024
Phone
(678) 735-5300
Fax
(678) 735-5305
NPI assigned
Dec 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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 RN214040 GA Primary

Addresses

Primary practice location

3890 Johns Creek Pkwy Ste 360
Suwanee, GA 30024

Mailing address

1505 Northside Blvd
Ste 2800
Cumming, GA 30041-7623
Phone (770) 886-3842

Other identifiers 2

IdentifierTypeStateIssuer
003171389CMedicaidGA
003171389AMedicaidGA

Other names 1

  • Whitney Quinlan Former name

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
I20160105000460 GA Practitioner - Nurse Practitioner 3072815331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Primary Care Professional Services,LLCGroup PAC ID 9638343924, 313 clinicians

Practice addresses (Care Compare)

3340 Paddock Pkwy
Suwanee, GA 30024-9119
Phone (678) 679-6210

3350 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633

3380 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633

Hospital & facility affiliations

  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Jan 4, 2016 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Jan 4, 2016 Accepting new patients

Locations

1505 Northside Blvd
Ste 2800
Cumming, GA 30041
Phone (678) 298-7238

1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587

3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633

3890 Johns Creek Pkwy
Ste 360
Suwanee, GA 30024
Phone (678) 954-8538

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Interoperability endpoints

  • Direct secure messaging: whitney.quinlan@ngd.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1265897326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE BLVD",
            "address_2": "STE 2800",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417623",
            "telephone_number": "770-886-3842",
            "fax_number": "770-886-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY STE 360",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "678-735-5300",
            "fax_number": "678-735-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSEY",
        "first_name": "WHITNEY",
        "middle_name": "QUINLAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN214040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003171389C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003171389A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "QUINLAN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.