Individual provider Active NPI

Lauren Keith Ingram, N.P.

  • Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1457729899
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN209074 Issued in GA
Practice address
100 College Ave SE
Gainesville, GA 30501-4510
Phone
(770) 534-0534
Fax
(770) 532-4049
NPI assigned
Sep 2, 2015
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 RN209074 GA Primary

Addresses

Primary practice location

100 College Ave SE
Gainesville, GA 30501-4510

Mailing address

100 College Ave SE
Gainesville, GA 30501-4510
Phone (770) 534-0534

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
I20151207000746 GA Practitioner - Nurse Practitioner 5991005472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Associates, PAGroup PAC ID 1355246398, 74 clinicians

Practice addresses (Care Compare)

100 College Ave SE
Gainesville, GA 30501-4510
Phone (770) 534-0534

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Allergy of North Ga CurrentSince Nov 1, 2017 Accepting new patients
Allergy Associates, PA CurrentSince Aug 4, 2025 Accepting new patients
Allergy Associates, PA CurrentSince Aug 4, 2025 Accepting new patients

Locations

100 College Ave SE
Gainesville, GA 30501
Phone (678) 971-5005

2076 Ingleside Ave
Macon, GA 31204
Phone (478) 254-8305

6701 Baum Dr
Ste 140
Knoxville, TN 37919

Organizations & group practices 3

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1457729899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLLEGE AVE SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014510",
            "telephone_number": "770-534-0534",
            "fax_number": "770-532-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE AVE SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014510",
            "telephone_number": "770-534-0534",
            "fax_number": "770-532-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "LAUREN",
        "middle_name": "KEITH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN209074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.