Individual provider Active NPI

Alecia Renee Lovelady, MD

  • Gynecology Physician
  • College Park, GA
National Provider Identifier
1285686519
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
050405 Issued in GA
Practice address
1720 Phoenix Blvd
Suite 700
College Park, GA 30349-5594
Phone
(404) 446-4792
Fax
(404) 446-4793
NPI assigned
May 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 050405 GA Primary

Addresses

Primary practice location

1720 Phoenix Blvd
Suite 700
College Park, GA 30349-5594

Mailing address

925 Tanner Way
Atlanta, GA 30349-7917
Phone (678) 517-2192

Other identifiers 1

IdentifierTypeStateIssuer
000918497MedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000547 GA Practitioner - Obstetrics/Gynecology 3870589435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Health Greater Life LLCGroup PAC ID 7810221173, 2 clinicians

Practice addresses (Care Compare)

494 Boulevard SE
Atlanta, GA 30312-3426
Phone (404) 835-7779

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Better Health Better Life LLC Gynecology Current Accepting new patients
Better Health Greater Life LLC Gynecology CurrentSince Apr 20, 2019 Accepting new patients
Atlanta Women's Obstetrics & Gynecology, PC Past Accepting new patients

Locations

494 Boulevard SE
Atlanta, GA 30312
Phone (404) 607-1002

Interoperability endpoints

  • Direct secure messaging: alecia.lovelady.1@19308.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19308/brand/1/csg/1/fhir/r4

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.

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285686519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 TANNER WAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497917",
            "telephone_number": "678-517-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PHOENIX BLVD",
            "address_2": "SUITE 700",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495594",
            "telephone_number": "404-446-4792",
            "fax_number": "404-446-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELADY",
        "first_name": "ALECIA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "050405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000918497",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

Verify at the official NPI Registry.