Linda Faulkner, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

069262 Issued in GA

Practice address

4861 Bill Gardner Pkwy
Suite 100
Locust Grove, GA 30248-3644

Phone

(770) 626-5740

Fax

(770) 626-5750

NPI assigned

Dec 12, 2006

Last updated

Jul 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Coweta Emergency Group LLC

  • Emergency Medicine Physician
  • Newnan, GA
  • NPI 1245556588

  Nurse Practitioner

  Medicare reassignment NPD
• Emerginet SRMC, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Atlanta, GA
  • NPI 1538118344
  Medicare reassignment NPD
• Correctmed Locust Grove, LLC

  • Family Medicine Physician
  • Locust Grove, GA
  • NPI 1245554682
  Authorized official Same address or phone
• Correctmed Scott, LLC

  • Pediatrics Physician
  • Locust Grove, GA
  • NPI 1659650810
  Authorized official Same address or phone
• Tenet Healthsystem SGH, Inc.

  dba Sylvan Grove Medical Center

  • Family Medicine Physician
  • Jackson, GA
  • NPI 1326084799
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1326109877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 PERIDOT PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819417",
            "telephone_number": "770-626-5580",
            "fax_number": "770-692-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 BILL GARDNER PKWY",
            "address_2": "SUITE 100",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483644",
            "telephone_number": "770-626-5740",
            "fax_number": "770-626-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "LINDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "069262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowered Pathways Housing Initiative Corp
• Envisioned Purpose LLC
• Jameson Andrew Estes, M.D.
• Erica Evans, LCSW
• David Farmer, PA-C
• Theresa Feanny
• Jean Robert Ferdinand, MD
• Nateka Fielder, RRT
• Tangy Foster-Mosely
• Four Corners Testing LLC

• Nurse Practitioner in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.