Individual provider Active NPI

Linda A Soeker, PCPNP

  • Pediatric Nurse Practitioner
  • Clayton, GA
National Provider Identifier
1326151622
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
GAA-NP001301 Issued in GA
Practice address
30 Cottonwood St
Clayton, GA 30525-4295
Phone
(706) 782-7040
NPI assigned
Aug 17, 2006
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP3342442 FL
Pediatric Nurse Practitioner 363LP0200X GAA-NP001301 GA Primary

Addresses

Primary practice location

30 Cottonwood St
Clayton, GA 30525-4295

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

5664 Bee Ridge Rd Ste 202
Sarasota, FL 34233-1504
Phone (941) 377-6406

Other practice location 2

712 39th St W
Bradenton, FL 34205-2454
Phone (941) 748-4602

Other identifiers 2

IdentifierTypeStateIssuer
215332OtherFLAMERIGROUP
300286101MedicaidFL

Other names 1

  • Ms. Linda A. Hartmann 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
I20230724002493 GA Practitioner - Nurse Practitioner 3274993118 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP3342442FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toccoa Clinic Medical Associates, LLP CurrentSince Jul 14, 2023 Accepting new patients
Northeast Georgia Physicians Group Urgent Care LLC CurrentSince Jul 1, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Jul 14, 2023 Accepting new patients
Gulf Coast Pediatrics of Sarasota, PA-C PastSince Dec 1, 2019 Accepting new patients
Gulf Coast Pediatrics of Sarasota, P.a. PastSince Dec 1, 2019 Accepting new patients

Locations

1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195

30 Cottonwood St
Clayton, GA 30525
Phone (706) 782-5044

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

Organizations & group practices 5

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1326151622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COTTONWOOD ST",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254295",
            "telephone_number": "706-782-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5664 Bee Ridge Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342331504",
            "country_code": "US",
            "telephone_number": "941-377-6406",
            "fax_number": "941-377-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 39th St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342052454",
            "country_code": "US",
            "telephone_number": "941-748-4602",
            "fax_number": "941-747-9230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOEKER",
        "first_name": "LINDA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PCPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP3342442",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "GAA-NP001301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "215332",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300286101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "HARTMANN",
            "middle_name": "A.",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clayton, GA

Sources for this page

Verify at the official NPI Registry.