NPIMap

Individual provider Active NPI

Jennifer E Lawrence, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Valdosta, GA
National Provider Identifier
1396827457
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
044001 Issued in GA
Practice address
2418 N Oak St
Valdosta, GA 31602-2576
Phone
(229) 219-0247
Fax
(229) 219-0837
NPI assigned
Oct 19, 2006
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 044001 GA Primary

Addresses

Primary practice location

2418 N Oak St
Valdosta, GA 31602-2576

Mailing address

2418 N Oak St
Valdosta, GA 31602-2576
Phone (229) 219-0247

Other identifiers 1

IdentifierTypeStateIssuer
00755004CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503000973 GA Practitioner - Endocrinology 2769470400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Johns Hopkins University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valdosta Family Medicine Associates, P.C.Group PAC ID 5991791683, 37 clinicians

Practice addresses (Care Compare)

2412 N Oak St
Valdosta, GA 31602-2567
Phone (229) 244-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Valdosta Family Medicine Associates, P.C. Endocrinology, Diabetes & Metabolism CurrentSince Aug 24, 2000 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Jun 1, 1997 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Jun 1, 1997 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2412 N Oak St
Valdosta, GA 31602
Phone (229) 244-1400

2418 N Oak St
Valdosta, GA 31602
Phone (229) 289-1517

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFDAA
  • Direct secure messaging: jennifer.lawrence@vfmapc.eclinicaldirectplus.com
  • Direct secure messaging: jlawrence6988@sgmc.gadirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1396827457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022576",
            "telephone_number": "229-219-0247",
            "fax_number": "229-219-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022576",
            "telephone_number": "229-219-0247",
            "fax_number": "229-219-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "044001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00755004C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.