Individual provider Active NPI

Lindsey L Witt, WHNP

  • Surgery Physician
  • Newnan, GA
National Provider Identifier
1275855504
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
RN180347 Issued in GA
Practice address
2959 Sharpsburg McCollum Rd
Newnan, GA 30265-2297
Phone
(770) 683-8346
Fax
(770) 916-7642
NPI assigned
Mar 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN180347 GA
Surgery Physician 208600000X RN180347 GA Primary

Addresses

Primary practice location

2959 Sharpsburg McCollum Rd
Newnan, GA 30265-2297

Mailing address

2959 Sharpsburg McCullum Rd
Newnan, GA 30265-2297
Phone (770) 683-8346

Other practice location 1

1975 Highway 54 W Ste 110
Peachtree City, GA 30269-4794
Phone (770) 683-8346

Other identifiers 1

IdentifierTypeStateIssuer
RN180347OtherGAGEORGIA LICENSE

Other names 1

  • Lindsey L Watrud 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
I20110203000590 GA Practitioner - Nurse Practitioner 8820278146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Vein CareGroup PAC ID 6406251248, 2 clinicians

Practice addresses (Care Compare)

2959 Sharpsburg McCullum Rd
Suite 100
Newnan, GA 30265-2297
Phone (770) 683-8346

Merit-based Incentive Payment System (MIPS)

Final score
89.87 of 100Reported as group
Quality
89.84
Promoting interoperability
99
Improvement activities
40
Cost
77.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN180347GAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC CurrentSince Jan 1, 2016 Accepting new patients
Southern Vein Care Surgery CurrentSince Aug 1, 2021 Accepting new patients
Women'S Community Care, PC Past Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

775 Poplar Rd
Ste 260
Newnan, GA 30265
Phone (404) 524-0095

2959 Sharpsburg McCullum Rd
Newnan, GA 30265
Phone (770) 502-2000

2959 Sharpsburg McCullum Rd
#R
Newnan, GA 30265

2959 Sharpsburg McCullum Rd
Ste 100
Newnan, GA 30265

1975 Highway 54 W
Ste 110
Peachtree Cty, GA 30269
Phone (770) 683-8346

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1275855504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SHARPSBURG MCCULLUM RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652297",
            "telephone_number": "770-683-8346",
            "fax_number": "770-916-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SHARPSBURG MCCOLLUM RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652297",
            "telephone_number": "770-683-8346",
            "fax_number": "770-916-7642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 Highway 54 W Ste 110",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302694794",
            "country_code": "US",
            "telephone_number": "770-683-8346",
            "fax_number": "770-916-7642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITT",
        "first_name": "LINDSEY",
        "middle_name": "L",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN180347",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "RN180347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "RN180347",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "WATRUD",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.