Active NPI
Deidra Shondrece Lowe, NURSE PRACTITIONER
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95030168
- Practice address
- 865 N Highland Ave NE
Atlanta, GA 30306-4565 - Phone
- (866) 389-2727
- NPI assigned
- Sep 2, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN217191 | GA | |
| Family Nurse Practitioner | 363LF0000X | 95030168 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN217191 | GA |
Addresses
Primary practice location
865 N Highland Ave NE
Atlanta, GA 30306-4565
Mailing address
865 N Highland Ave NE
Atlanta, GA 30306-4565
Phone (404) 205-9499
Other practice location 1
67580 Jones Rd
Cathedral City, CA 92234-6401
Phone (760) 642-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 Lakeview Pkwy
Suite 759D
Alpharetta, GA 30009-9082
Phone (954) 231-5484
865 N Highland Ave
Atlanta, GA 30039
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN217191 | GA | MD | Registered Nurse |
| 95030168 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elemental Living Inc | Family | Current | Accepting new patients |
| Primary Care PLLC | Family | Current | Accepting new patients |
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Compass Health Systems of California Inc | Family | Current | Accepting new patients |
| Desert Medical Group, Inc. | Current | Accepting new patients | |
| Altix Medical Ga P.C. | Past | Accepting new patients | |
| Banyan Palm Springs LLC | Past | Accepting new patients | |
| Banyan Palm Springs LLC | Past | Accepting new patients |
Locations
67580 Jones Rd
Cathedral City, CA 92234
Phone (760) 642-1112
275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814
301 Almeria Ave
Ste 240
Coral Gables, FL 33134
Phone (239) 842-6320
1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050
2300 Lakeview Pkwy
Ste 759D
Alpharetta, GA 30009
Phone (239) 842-6320
865 N Highland Ave NE
Atlanta, GA 30306
Phone (404) 733-6089
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Cathedral City, CA
- NPI 1871303396
Family
-
dba Desert Oasis Healthcare Medical Group
- Family Medicine Physician
- Palm Springs, CA
- NPI 1114918612
-
- General Practice Physician
- Alpharetta, GA
- NPI 1730012089
-
- Substance Abuse Rehabilitation Facility
- Cathedral City, CA
- NPI 1851932214
-
dba Banyan Palm Springs Outpatient
- Substance Abuse Rehabilitation Facility
- Palm Desert, CA
- NPI 1912540766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1386925469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 N HIGHLAND AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303064565",
"telephone_number": "404-205-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 N HIGHLAND AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303064565",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "67580 Jones Rd",
"address_purpose": "LOCATION",
"city": "Cathedral City",
"state": "CA",
"postal_code": "922346401",
"country_code": "US",
"telephone_number": "760-642-1112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOWE",
"first_name": "DEIDRA",
"middle_name": "SHONDRECE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN217191",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95030168",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN217191",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.