Individual provider Active NPI

Anndrea Marie Lampkin, NP

  • Nurse Practitioner
  • Fortson, GA
National Provider Identifier
1467821900
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F07151209 Issued in GA
Practice address
4519 Ivy Patch Dr
Fortson, GA 31808-6964
Phone
(706) 681-2924
NPI assigned
Sep 15, 2015
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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 F07151209 GA Primary

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

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
I20151215002499 GA Practitioner - Nurse Practitioner 3971804022 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07151209GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC CurrentSince Sep 2, 2017 Accepting new patients
Aml Medical LLC Current Accepting new patients
Georgia Em-I Medical Services, LLC Nurse Practitioner CurrentSince Jan 25, 2018 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Dec 30, 2017 Accepting new patients
Houston County Emergency Group, LLC CurrentSince Sep 2, 2017 Accepting new patients
Georgia Em-I Medical Services PC Nurse Practitioner CurrentSince Jan 25, 2018 Accepting new patients
Criswell Medical LLC Current Accepting new patients
Central Georgia Emergency Group, LLC CurrentSince Sep 1, 2021 Accepting new patients
Hightower Emergency Group, PC Nurse Practitioner CurrentSince Apr 16, 2019 Accepting new patients
Georgia Em-I Medical Services. LLC Nurse Practitioner Current Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Jul 31, 2019 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

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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": "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

Sources for this page

Verify at the official NPI Registry.