Lauren Thornton, FNP
Individual provider Active NPI Family Nurse Practitioner · Blackshear, GA
NPI 1306498548 · NPPES record last updated Jul 9, 2019
Key facts
- NPI
- 1306498548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN170290 (GA)
- Practice address
- 120 E Carter Ave
Blackshear, GA 31516-1561 - Phone
- (912) 449-4426
- Fax
- (912) 449-1059
- NPI assigned
- Jul 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acs Primary Care Physicians - Southeast PC
Practice addresses (Care Compare)
1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191007001696 | GA | Practitioner - Nurse Practitioner | 9830420892 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | 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 | |
| Privia Medical Group of Georgia LLC | Current |
Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current |
Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current |
Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Current |
Accepting new patients |
Locations
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
120 E Carter Ave
Ste A
Blackshear, GA 31516
Phone (912) 449-4426
120 E Carter Ave
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
615 Pendleton St
Waycross, GA 31501
Phone (912) 285-9994
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN170290 | GA | Yes |
Addresses
Primary practice location
120 E Carter Ave
Blackshear, GA 31516-1561
Mailing address
4362 Meadow Wood Rd
Blackshear, GA 31516-4519
Other providers in Blackshear, GA
- Speech Pathology Associates of South East Georgia, PC
- Mary Catherine Barnes Stewart
- Travis Vincent Streat
- The Baxley & Appling County Hospital Authority
- Clara Thomas
- Unison Behavioral Health
- Unison Behavioral Health
- Walgreen Co
- Ware County Board of Health
- Donald B. Waters
All providers in Blackshear, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.