Individual provider Active NPI

Nathan Grant Lawrence, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1346624327
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME174184 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
Fax
(239) 208-3994
NPI assigned
Jul 20, 2015
Last updated
May 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 59590 TN
Neurology Physician 2084N0400X ME174184 FL Primary

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

8000 Centerview Pkwy Ste 305
Cordova, TN 38018
Phone (901) 261-3500

Other practice location 2

7655 Poplar Ave Ste 155
Germantown, TN 38138-3959
Phone (901) 261-3500

Other practice location 3

1325 Eastmoreland Ave Ste 101
Memphis, TN 38104-3507
Phone (901) 261-3500

Other identifiers 1

IdentifierTypeStateIssuer
59590OtherTNSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, OH, ND, NH, GA6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20190907000423 TN Practitioner - Neurology 9436488061 Reassigns benefits to 7 organizations
I20250707003668 KY Practitioner - Neurology 9436488061 Reassigns benefits to 1 organization
I20250708004200 OH Practitioner - Neurology 9436488061 Reassigns benefits to 1 organization
I20250725004191 ND Practitioner - Neurology 9436488061 Reassigns benefits to 1 organization
I20250909003713 NH Practitioner - Neurology 9436488061 Reassigns benefits to 1 organization
I20260105001166 GA Practitioner - Hospitalist 9436488061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians

Practice addresses (Care Compare)

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

230 Arbor Commons Cir
Apt 105
Memphis, TN 38120-2661
Phone (239) 208-2212

6341 William Hill Dr
Arlington, TN 38002-8826
Phone (239) 208-2212

837 Stonewater Blvd
Franklin, TN 37064-5161
Phone (239) 208-2212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME174184FLMDNeurology Physician
59590TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System CurrentSince Jul 24, 2025 Accepting new patients
Primary Care Group LLC Neurology CurrentSince Dec 19, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
St Joseph Hospital of Nashua NH General Acute Care Hospital CurrentSince Jul 29, 2025 Accepting new patients
Altru Health System CurrentSince Jul 24, 2025 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Jul 1, 2025 Accepting new patients
DCHD Health Care Professionals LLC CurrentSince Apr 23, 2025 Accepting new patients
North Mississippi Medical Center Inc. Neurology CurrentSince Apr 27, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Jul 29, 2025 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Dec 1, 2025 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Jul 15, 2025 Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Jul 27, 2025 Accepting new patients
Upson Medical Associates LLC CurrentSince May 19, 2025 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Apr 27, 2025 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Virtual Neurology Kansas, LLC Neurology CurrentSince Jun 28, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Specialty Physician Group LLC PastSince Jul 15, 2019 Accepting new patients
Lima Memorial Joint Operating Company General Acute Care Hospital Past Accepting new patients
Virtual Neurology Texas PLLC Neurology Past Accepting new patients
Benefis Hospitals Inc Past Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

8000 Centerview Pkwy
Ste 305
Cordova, TN 38018
Phone (901) 261-3500

7655 Poplar Ave
Ste 155
Germantown, TN 38138
Phone (901) 261-3500

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1325 Eastmoreland Ave
Ste 101
Memphis, TN 38104
Phone (901) 261-3500

3950 New Covington Pike
Ste 270
Memphis, TN 38128
Phone (901) 261-3500

Interoperability endpoints

  • Direct secure messaging: nlawrence3034710@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: nlawrence4073089@oc.providencedirect.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1346624327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Centerview Pkwy Ste 305",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "38018",
            "country_code": "US",
            "telephone_number": "901-261-3500",
            "fax_number": "901-259-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7655 Poplar Ave Ste 155",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383959",
            "country_code": "US",
            "telephone_number": "901-261-3500",
            "fax_number": "901-259-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Eastmoreland Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043507",
            "country_code": "US",
            "telephone_number": "901-261-3500",
            "fax_number": "901-624-2961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "NATHAN",
        "middle_name": "GRANT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "59590",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME174184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "59590",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.