Active NPI
Lauren Thornton, FNP
- Family Nurse Practitioner
- Blackshear, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN170290
- Practice address
- 120 E Carter Ave
Blackshear, GA 31516-1561 - Phone
- (912) 449-4426
- Fax
- (912) 449-1059
- NPI assigned
- Jul 9, 2019
- Last updated
- Jul 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN170290 | GA | Primary |
Addresses
Primary practice location
120 E Carter Ave
Blackshear, GA 31516-1561
Mailing address
4362 Meadow Wood Rd
Blackshear, GA 31516-4519
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| St Vincent's Full Service Urgent Care, LLC | Current | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Current | Accepting new patients |
Locations
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
120 E Carter Ave
Blackshear, GA 31516
Phone (912) 449-4426
120 E Carter Ave
Ste A
Blackshear, GA 31516
Phone (912) 449-4426
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
1481 Highway 40 E
Kingsland, GA 31548
Phone (912) 576-6865
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
615 Pendleton St
Waycross, GA 31501
Phone (912) 285-9994
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Occupational Medicine Clinic/Center
- Jacksonville, FL
- NPI 1750672051
GA
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
dba Ascension St Vincent's Medical Group
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1306498548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4362 MEADOW WOOD RD",
"city": "BLACKSHEAR",
"state": "GA",
"postal_code": "315164519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E CARTER AVE",
"city": "BLACKSHEAR",
"state": "GA",
"postal_code": "315161561",
"telephone_number": "912-449-4426",
"fax_number": "912-449-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "LAUREN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN170290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackshear, GA
- Speech Pathology Associates of South East Georgia, PC
- Mary Catherine Barnes Stewart, MD
- Travis Vincent Streat
- The Baxley & Appling County Hospital Authority (Appling Healthcare Group of Blackshear)
- Clara Thomas, BA,PP,CPS
- Unison Behavioral Health (Kerrigan Way)
- Unison Behavioral Health
- Walgreen Co (Walgreens #17795)
- Ware County Board of Health
- Donald B. Waters, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.