Individual provider Active NPI

Erica Christine Lockliear, NP-C

  • Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1447611686
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN199073 Issued in GA
Practice address
55 Whitcher St NE Ste 350
Marietta, GA 30060-1129
Phone
(770) 424-6893
Fax
(770) 528-9938
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN199073 GA Primary

Addresses

Primary practice location

55 Whitcher St NE Ste 350
Marietta, GA 30060-1129

Mailing address

55 Whitcher St NE Ste 350
Marietta, GA 30060-1129
Phone (770) 424-6893

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erica.lockliear.1@1498.direct.athenahealth.com

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
I20160712001840 GA Practitioner - Nurse Practitioner 9032401005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN199073GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC CurrentSince Nov 5, 2018 Accepting new patients
Harbin Clinic, LLC CurrentSince Nov 5, 2018 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Harbin Clinic, LLC Current Accepting new patients

Locations

855 Curtis Pkwy SE
Calhoun, GA 30701
Phone (706) 624-5100

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

55 Whitcher St NE
Ste 160
Marietta, GA 30060
Phone (770) 590-4180

55 Whitcher St NE
Ste 350
Marietta, GA 30060

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

504 Redmond Rd NW
Rome, GA 30165
Phone (706) 235-3855

Interoperability endpoints

  • Direct secure messaging: erica.lockliear.1@1498.direct.athenahealth.com
  • Direct secure messaging: elockliear16534@directwellstar.org

Organizations & group practices 4

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1447611686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE STE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601129",
            "telephone_number": "770-424-6893",
            "fax_number": "770-528-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE STE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601129",
            "telephone_number": "770-424-6893",
            "fax_number": "770-528-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKLIEAR",
        "first_name": "ERICA",
        "middle_name": "CHRISTINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN199073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica.lockliear.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "855 Curtis Pkwy SE",
            "city": "Calhoun",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307013653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.