Individual provider Active NPI

Grova Lynn Satterfield, M.D.

  • Internal Medicine Physician
  • Gainesville, GA
National Provider Identifier
1366410623
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
031822 Issued in GA
Practice address
667 Lanier Park Dr
Gainesville, GA 30501-2059
Phone
(770) 532-7501
Fax
(770) 532-8322
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 031822 GA Primary

Addresses

Primary practice location

667 Lanier Park Dr
Gainesville, GA 30501-2059

Mailing address

667 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (770) 532-7501

Other identifiers 2

IdentifierTypeStateIssuer
395202OtherGABLUE CROSS BLUE SHIELD
P00272011OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050602000115 GA Practitioner - Internal Medicine 7719929710 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Primary Care of Georgia LLC CurrentSince Jun 1, 2015 Accepting new patients
Optimus Diagnostics LLC Current Accepting new patients
Dr.Cheri L. Owens Vachtsevanos, P.C. Internal Medicine Current Accepting new patients
Emory Specialty Associates, LLC Internal Medicine Past Accepting new patients

Locations

4421 Carnes St
Acworth, GA 30101
Phone (478) 621-2072

667 Lanier Park Dr
Gainesville, GA 30501
Phone (770) 532-7501

1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2072

343 Plantation Way
Macon, GA 31210
Phone (478) 405-9000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1366410623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "770-532-7501",
            "fax_number": "770-532-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "770-532-7501",
            "fax_number": "770-532-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERFIELD",
        "first_name": "GROVA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "031822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "395202",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00272011",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.