Active NPI
Loretta Duggan, M.D.
- Family Medicine Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 78767
- Practice address
- 740 Prince Ave Ste 12a
Athens, GA 30606-5906 - Phone
- (706) 623-8098
- NPI assigned
- Apr 11, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 78767 | GA | |
| Family Medicine Physician | 207Q00000X | 78767 | GA | Primary |
Addresses
Primary practice location
740 Prince Ave Ste 12a
Athens, GA 30606-5906
Mailing address
1720 Epps Bridge Pkwy Ste 108
Box 348
Athens, GA 30606
Phone (706) 623-8098
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171205003594 | GA | Practitioner - Family Practice | 5496993008 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78767 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| East Georgia Healthcare Center, Inc. | Current | Accepting new patients | |
| Her Health | Family Medicine | Current | Accepting new patients |
Locations
740 Prince Ave
Ste 12A
Athens, GA 30606
Phone (706) 623-8098
1720 Epps Bridge Pkwy
Ste 108
Athens, GA 30606
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
117 Memorial Dr
Reidsville, GA 30453
Phone (912) 557-3300
215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBFFAA
- https://fhir4.healow.com/fhir/r4/FDHHDD/Endpoint/FDHHDD
- https://fhir4.healow.com/fhir/r4/HAIHDD
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Reidsville, GA
- NPI 1093754905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716768000000",
"number": "1376809665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 EPPS BRIDGE PKWY STE 108",
"address_2": "BOX 348",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-623-8098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 PRINCE AVE STE 12A",
"city": "ATHENS",
"state": "GA",
"postal_code": "306065906",
"telephone_number": "706-623-8098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGAN",
"first_name": "LORETTA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2024-05-27",
"certification_date": "2024-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "GA",
"license": "78767",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "78767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.