Active NPI
Lauretta Nester, PA
- Physician Assistant
- Brooks, GA
National Provider Identifier
1346740933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3406
- Practice address
- 330 Hardy Rd
Brooks, GA 30205-2314 - Phone
- (678) 588-1478
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3406 | GA | Primary |
Addresses
Primary practice location
330 Hardy Rd
Brooks, GA 30205-2314
Mailing address
330 Hardy Rd
Brooks, GA 30205-2314
Phone (678) 588-1478
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3406 | GA | MD | Physician Assistant |
Interoperability endpoints
- lauretta.nester.1@18351.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1346740933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 HARDY RD",
"city": "BROOKS",
"state": "GA",
"postal_code": "302052314",
"telephone_number": "678-588-1478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 HARDY RD",
"city": "BROOKS",
"state": "GA",
"postal_code": "302052314",
"telephone_number": "678-588-1478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESTER",
"first_name": "LAURETTA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "3406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooks, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.