Active NPI
Terrilyn D Lemons, APRNP
- Family Nurse Practitioner
- Ellenwood, GA
National Provider Identifier
1336304682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN079871
- Practice address
- 4018 Park Place Cir
Ellenwood, GA 30294-1500 - Phone
- (404) 212-1024
- Fax
- (404) 212-1024
- NPI assigned
- Jul 25, 2008
- 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 | RN079871 | GA | Primary |
Addresses
Primary practice location
4018 Park Place Cir
Ellenwood, GA 30294-1500
Mailing address
4018 Park Place Cir
Ellenwood, GA 30294-1500
Phone (404) 212-1024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN079871 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1336304682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4018 PARK PLACE CIR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302941500",
"telephone_number": "404-212-1024",
"fax_number": "404-212-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4018 PARK PLACE CIR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302941500",
"telephone_number": "404-212-1024",
"fax_number": "404-212-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMONS",
"first_name": "TERRILYN",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "APRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-25",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN079871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.