Individual provider Active NPI

Loretta Duggan, M.D.

  • Family Medicine Physician
  • Athens, GA
National Provider Identifier
1376809665
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
78767 Issued in GA
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

Updated by the provider on May 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
78767GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Nov 28, 2024 Accepting new patients
East Georgia Healthcare Center, Inc. Current Accepting new patients
Her Health Family Medicine CurrentSince Jun 2, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBFFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDHHDD/Endpoint/FDHHDD
  • FHIR API: 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.

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

Verify at the official NPI Registry.