Individual provider Active NPI

Lana Marie Peralta, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1356993679
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN197351 Issued in GA
Practice address
107 Southern Blvd
Savannah, GA 31405-7437
Phone
(912) 350-8381
NPI assigned
Jul 16, 2019
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN197351 GA Primary

Addresses

Primary practice location

107 Southern Blvd
Savannah, GA 31405-7437

Mailing address

107 Southern Blvd Ste 203
Savannah, GA 31405-7435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210813001811 GA Practitioner - Nurse Practitioner 1254735186 Reassigns benefits to 1 organization
I20231030003942 TX Practitioner - Nurse Practitioner 1254735186 Reassigns benefits to 2 organizations
I20250502002909 SC Practitioner - Nurse Practitioner 1254735186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospice Advantage LLCGroup PAC ID 3779544960, shared by 29 NPIs, 6 clinicians
Compassus Op of Texas LLCGroup PAC ID 0345517124, 5 clinicians

Practice addresses (Care Compare)

10911 N Jacob Smart Blvd
Suite 1
Ridgeland, SC 29936-2728
Phone (843) 645-6540

450 Mall Blvd
Suite a
Savannah, GA 31406-4864
Phone (912) 354-3727

84 NE 410 Loop
Suite 315
San Antonio, TX 78216
Phone (210) 731-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN197351GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassus Op of Texas LLC CurrentSince May 15, 2024 Accepting new patients
Monogram Health Professional Services PC CurrentSince Mar 2, 2026 Accepting new patients
Hospice Advantage, LLC. CurrentSince Mar 24, 2025 Accepting new patients
CLP Regency of Texas, LLC CurrentSince Sep 15, 2023 Accepting new patients
Hospice Advantage, LLC CurrentSince Jun 1, 2021 Accepting new patients
Hospice Advantage, LLC CurrentSince Jun 1, 2021 Accepting new patients
Hospice Advantage, LLC Past Accepting new patients
Hospice Advantage, LLC Past Accepting new patients

Locations

300 Chastain Center Blvd NW
Ste 345
Kennesaw, GA 30144
Phone (770) 218-1997

450 Mall Blvd
Ste A
Savannah, GA 31406
Phone (912) 354-3727

128 Millport Cir
Ste 200
Greenville, SC 29607
Phone (240) 877-9865

10911 N Jacob Smart Blvd
Ste 1
Ridgeland, SC 29936
Phone (843) 645-6540

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

1300 Dacy Ln
Ste 170
Kyle, TX 78640
Phone (512) 462-0538

84 NE Loop 410
Ste 315
San Antonio, TX 78216
Phone (210) 684-3900

Organizations & group practices 8

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1356993679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SOUTHERN BLVD STE 203",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314057435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SOUTHERN BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314057437",
            "telephone_number": "912-350-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "LANA",
        "middle_name": "MARIE",
        "credential": "APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN197351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.