Individual provider Active NPI

Amy E Lingenfelter, NURSE PRACTITIONER

  • Nurse Practitioner
  • Johns Creek, GA
National Provider Identifier
1295048932
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN161642 Issued in GA
Practice address
6300 Hospital Pkwy
Suite 250
Johns Creek, GA 30097-1828
Phone
(770) 495-6258
Fax
(770) 495-8219
NPI assigned
Jul 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN161642 GA Primary

Addresses

Primary practice location

6300 Hospital Pkwy
Suite 250
Johns Creek, GA 30097-1828

Mailing address

114 Townpark Dr NW
Suite 240
Kennesaw, GA 30144-5802
Phone (770) 952-8612

Other names 1

  • Ms. Amy E Thompson 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
I20101111000884 GA Practitioner - Nurse Practitioner 5698960938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Allergy and Asthma Clinic PAGroup PAC ID 1254372006, 42 clinicians

Practice addresses (Care Compare)

100 Old Ball Ground Hwy
Suite B
Canton, GA 30114-2890
Phone (770) 720-8000

4025 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-5683
Phone (770) 495-6258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN161642GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Allergy & Asthma Clinic PA CurrentSince Mar 3, 2015 Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 800
Atlanta, GA 30309
Phone (404) 351-5711

100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000

6300 Hospital Pkwy
Ste 250
Johns Creek, GA 30097
Phone (770) 495-6258

114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723

4025 Johns Creek Pkwy
Ste 300
Suwanee, GA 30024
Phone (770) 495-6258

Interoperability endpoints

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

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": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1295048932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TOWNPARK DR NW",
            "address_2": "SUITE 240",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445802",
            "telephone_number": "770-952-8612",
            "fax_number": "678-803-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HOSPITAL PKWY",
            "address_2": "SUITE 250",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971828",
            "telephone_number": "770-495-6258",
            "fax_number": "770-495-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGENFELTER",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN161642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "THOMPSON",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.