Individual provider Active NPI

Emerald Lovely, MD

  • Obstetrics & Gynecology Physician
  • Lawrenceville, GA
National Provider Identifier
1417213109
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
87081 Issued in GA
Practice address
2695 Sugarloaf Pkwy Ste 1200
Lawrenceville, GA 30045-9459
Phone
(678) 444-7878
Fax
(888) 571-6429
NPI assigned
Apr 6, 2012
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gynecology Physician 207VG0400X MD35230 AL
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 87081 GA Primary

Addresses

Primary practice location

2695 Sugarloaf Pkwy Ste 1200
Lawrenceville, GA 30045-9459

Mailing address

2695 Sugarloaf Pkwy Ste 1200
Lawrenceville, GA 30045-9459
Phone (678) 444-7878

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
I20220222002710 GA Practitioner - Obstetrics/Gynecology 1456645167 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87081GAMDObstetrics & Gynecology Physician
MD35230ALMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. Single Specialty Current Accepting new patients
Lovely Primary Care LLC Single Specialty CurrentSince Nov 30, 2025 Accepting new patients
Lovely Health Services PC Single Specialty CurrentSince Oct 29, 2023 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Jul 18, 2016 Accepting new patients
J. Moore M.D. LLC Single Specialty CurrentSince Jan 27, 2022 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Jul 18, 2016 Accepting new patients
Obhg Alabama, P.C. Single Specialty CurrentSince Jun 21, 2020 Accepting new patients
Eastside Medical Center, LLC Past Accepting new patients

Locations

1304 13th Ave SE
Ste A
Decatur, AL 35601
Phone (256) 340-1251

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

1180 McKendree Church Rd
Ste 204
Lawrenceville, GA 30043
Phone (770) 682-1717

2695 Sugarloaf Pkwy
Ste 1200
Lawrenceville, GA 30045
Phone (678) 444-7878

924 W Spring St
Monroe, GA 30655
Phone (770) 266-0935

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

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1417213109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 SUGARLOAF PKWY STE 1200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459459",
            "telephone_number": "678-444-7878",
            "fax_number": "888-571-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 SUGARLOAF PKWY STE 1200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459459",
            "telephone_number": "678-444-7878",
            "fax_number": "888-571-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELY",
        "first_name": "EMERALD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "MD35230",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "87081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.