Individual provider Active NPI

Lolita J. Beverly, APRN, FNP-C

  • Family Nurse Practitioner
  • Powell, OH
National Provider Identifier
1427233287
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025019 Issued in OH
Practice address
3488 Seldom Seen Rd
Powell, OH 43065-8405
Phone
(866) 389-2727
NPI assigned
Dec 29, 2007
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN221704 GA
Family Nurse Practitioner 363LF0000X APRN.CNP.025019 OH Primary

Addresses

Primary practice location

3488 Seldom Seen Rd
Powell, OH 43065-8405

Mailing address

7470 Sawmill Rd
Dublin, OH 43016-8633
Phone (614) 937-1356

Other practice location 1

4321 Plantation Trace Dr
Duluth, GA 30096-6328
Phone (614) 937-1356

Other practice location 2

1950 Buford Hwy
Buford, GA 30518
Phone (770) 945-7286

Other practice location 3

1950 Buford Hwy
Buford, GA 30518
Phone (770) 945-7286

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180817002466 GA Practitioner - Nurse Practitioner 9931458346 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jul 13, 2018 Accepting new patients

Locations

1950 Buford Hwy
Buford, GA 30518
Phone (770) 945-7286

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

Organizations & group practices 1

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": "1198886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1427233287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7470 SAWMILL RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168633",
            "telephone_number": "614-937-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 SELDOM SEEN RD",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658405",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4321 Plantation Trace Dr",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300966328",
            "country_code": "US",
            "telephone_number": "614-937-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Buford Hwy",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "30518",
            "country_code": "US",
            "telephone_number": "770-945-7286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Buford Hwy",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "30518",
            "country_code": "US",
            "telephone_number": "770-945-7286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "LOLITA",
        "middle_name": "J.",
        "name_prefix": "Miss",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-29",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN221704",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.