Active NPI
Lana Marie Peralta, APRN, AGACNP-BC
- Acute Care Nurse Practitioner
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN197351
- Practice address
- 107 Southern Blvd
Savannah, GA 31405-7437 - Phone
- (912) 350-8381
- NPI assigned
- Jul 16, 2019
- Last updated
- Aug 16, 2021
- 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 |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN197351 | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassus Op of Texas LLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Hospice Advantage, LLC. | Current | Accepting new patients | |
| CLP Regency of Texas, LLC | Current | Accepting new patients | |
| Hospice Advantage, LLC | Current | Accepting new patients | |
| Hospice Advantage, LLC | Current | 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.
-
dba Compassus - San Antonio
- Hospice and Palliative Medicine (Family Medicine) Physician
- San Antonio, TX
- NPI 1063956720
-
dba Compassus - Atlanta
- Hospice and Palliative Medicine (Family Medicine) Physician
- Duluth, GA
- NPI 1992261838
-
dba Hospice Compassus
- Hospice and Palliative Medicine (Family Medicine) Physician
- Round Rock, TX
- NPI 1679152656
-
dba Compassus - Charleston
- Hospice and Palliative Medicine (Family Medicine) Physician
- Ridgeland, SC
- NPI 1982416814
-
dba Compassus - Charleston
- Community Based Hospice Care Agency
- Ridgeland, SC
- NPI 1285031534
-
dba Compassus - Kennesaw
- Community Based Hospice Care Agency
- Kennesaw, GA
- NPI 1497709802
-
dba Compassus - Lansing
- Hospice and Palliative Medicine (Family Medicine) Physician
- Lansing, MI
- NPI 1053912592
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.