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

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.

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 IDStateProvider typePAC IDDetails
I20151215002499 GA Practitioner - Nurse Practitioner 3971804022 Reassigns benefits to 6 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07151209GAMDNurse Practitioner

Practice roles

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2016.

{
    "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

All providers in Fortson, GA · Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.