Individual provider Active NPI

Deidra Shondrece Lowe, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1386925469
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030168 Issued in CA
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

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241026000411 CA Practitioner - Nurse Practitioner 6406389618 Reassigns benefits to 2 organizations
I20251114000112 GA Practitioner - Nurse Practitioner 6406389618 Reassigns benefits to 3 organizations

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
Elemental Living IncGroup PAC ID 7214385822, 8 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

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

LicenseStateTypeSpecialty
RN217191GAMDRegistered Nurse
95030168CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Living Inc Family CurrentSince Sep 1, 2025 Accepting new patients
Primary Care PLLC Family CurrentSince Oct 1, 2025 Accepting new patients
Minuteclinic LLC Family CurrentSince Oct 1, 2025 Accepting new patients
Compass Health Systems of California Inc Family CurrentSince Sep 26, 2025 Accepting new patients
Desert Medical Group, Inc. CurrentSince Aug 8, 2024 Accepting new patients
Altix Medical Ga P.C. PastSince Sep 1, 2025 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.

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

Verify at the official NPI Registry.