Individual provider Active NPI

Lelola Marie McGirt, AGNP-C

  • Gerontology Nurse Practitioner
  • Macon, GA
National Provider Identifier
1316517741
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
222855 Issued in GA
Practice address
229 Apple Valley Rd
Macon, GA 31217-5551
Phone
(478) 284-1044
NPI assigned
Jun 28, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 222855 GA Primary

Addresses

Primary practice location

229 Apple Valley Rd
Macon, GA 31217-5551

Mailing address

229 Apple Valley Rd
Macon, GA 31217-5551
Phone (478) 284-1044

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
I20230921002753 GA Practitioner - Nurse Practitioner 4284088402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Primary Care of Georgia LLCGroup PAC ID 0648421065, 20 clinicians

Practice addresses (Care Compare)

1005 Boulder Dr
Gray, GA 31032-6141
Phone (478) 621-2100

Merit-based Incentive Payment System (MIPS)

Final score
50.51 of 100Reported as group
Quality
16.39
Improvement activities
20
Cost
79.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Diagnostics LLC Current Accepting new patients
Community Primary Care of Georgia LLC CurrentSince Jul 10, 2023 Accepting new patients

Locations

1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2072

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1316517741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 APPLE VALLEY RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312175551",
            "telephone_number": "478-284-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 APPLE VALLEY RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312175551",
            "telephone_number": "478-284-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGIRT",
        "first_name": "LELOLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "222855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.