Anndrea Marie Lampkin, NP
Individual provider Active NPI Nurse Practitioner · Fortson, GA
NPI 1467821900 · NPPES record last updated Jan 12, 2016
Key facts
- NPI
- 1467821900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F07151209 (GA)
- Practice address
- 4519 Ivy Patch Dr
Fortson, GA 31808-6964 - Phone
- (706) 681-2924
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151215002499 | GA | Practitioner - Nurse Practitioner | 3971804022 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F07151209 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georgia Emergency Group, LLC | Current |
Accepting new patients | |
| Emergency Group of Columbus, LLC | Current |
Accepting new patients | |
| Georgia Em-I Medical Services, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Criswell Medical LLC | Current | Accepting new patients | |
| Georgia Em-I Medical Services PC | Nurse Practitioner | Current |
Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Nurse Practitioner | Current |
Accepting new patients |
| Houston County Emergency Group, LLC | Current |
Accepting new patients | |
| Georgia Em-I Medical Services. LLC | Nurse Practitioner | Current | Accepting new patients |
| Houston County Emergency Group, LLC | Current |
Accepting new patients | |
| Hightower Emergency Group, PC | Nurse Practitioner | Current |
Accepting new patients |
| Aml Medical LLC | Current | Accepting new patients |
Locations
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F07151209 | GA | Yes |
Addresses
Primary practice location
4519 Ivy Patch Dr
Fortson, GA 31808-6964
Mailing address
4519 Ivy Patch Dr
Fortson, GA 31808-6964
Phone (706) 681-2924
NPI Registry JSON
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1467821900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 IVY PATCH DR",
"city": "FORTSON",
"state": "GA",
"postal_code": "318086964",
"telephone_number": "706-681-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 IVY PATCH DR",
"city": "FORTSON",
"state": "GA",
"postal_code": "318086964",
"telephone_number": "706-681-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPKIN",
"first_name": "ANNDREA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "F07151209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fortson, GA
- Donna M Jacobs
- Antiha Jenkins
- Charenia Jones
- Deborah King
- Kingspeak Toolkit LLC
- Simonne Lawrence
- Amber Love
- Love, Breanna Olivia Zion Enterprise,LLC(Lboz):
- Carrie Love
- Sophia M Mann
All providers in Fortson, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.