Individual provider Active NPI

Barbara W Lathrop, NP

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1376734533
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN112839 Issued in GA
Practice address
610 3Rd St
Ste 101
Macon, GA 31201-3293
Phone
(478) 464-2600
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN112839 GA Primary

Addresses

Primary practice location

610 3Rd St
Ste 101
Macon, GA 31201-3293

Mailing address

610 3Rd St
Ste 100
Macon, GA 31201-3293
Phone (478) 745-6576

Other identifiers 1

IdentifierTypeStateIssuer
871088793BMedicaidGA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000239 GA Practitioner - Nurse Practitioner 1153401666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians

Practice addresses (Care Compare)

1345 Redmond Cir NW
Rome, GA 30165-1307
Phone (910) 742-9243

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource of North Carolina Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Lifesource of North Carolina Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Health Services of Central Georgia, Inc PastSince Jun 1, 2004 Accepting new patients
Synergetic Healings LLC PastSince Dec 1, 2018 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
United Medical Specialist, LLC Past Accepting new patients

Locations

1345 Redmond Cir NW
Rome, GA 30165
Phone (706) 234-8281

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

Organizations & group practices 6

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376734533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 3RD ST",
            "address_2": "STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013293",
            "telephone_number": "478-745-6576",
            "fax_number": "478-746-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 3RD ST",
            "address_2": "STE 101",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013293",
            "telephone_number": "478-464-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHROP",
        "first_name": "BARBARA",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN112839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871088793B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.