Active NPI
Paige Gantt
- Critical Care Medicine Nurse Practitioner
- Lawrenceville, GA
National Provider Identifier
1487048591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- RN190775
- Practice address
- 1000 Medical Center Blvd
Lawrenceville, GA 30046-7694 - Phone
- (470) 325-0180
- Fax
- (470) 325-0191
- NPI assigned
- Mar 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN190775 | GA | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | RN190775 | GA | Primary |
Addresses
Primary practice location
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Mailing address
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-2418
Other names 1
- Paige D Roberts
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paige.gantt.p2@direct.gmg.nextgenshare.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150522001622 | GA | Practitioner - Nurse Practitioner | 1052631504 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Physician Group, LLC | Current | Accepting new patients | |
| City of Hope Medical Group of Georgia LLC | Current | Accepting new patients | |
| Longleaf Hospice, LLC | Current | Accepting new patients |
Locations
1160 Monticello St SW
Ste 200
Covington, GA 30014
Phone (770) 824-3200
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
62742 Collections Ctr Dr
Chicago, IL 60693
Interoperability endpoints
- pgantt167826@cityofhope.direct-ci.com
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 and National Provider Directory roles.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gwinnett Physician Group, LLC
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-4321
Hospital & facility affiliations
- Northside Hospital Gwinnett
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.74 of 100
- Quality
- 63.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 57.71
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1487048591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467694",
"telephone_number": "678-312-2418",
"fax_number": "678-312-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467694",
"telephone_number": "470-325-0180",
"fax_number": "470-325-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTT",
"first_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-26",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN190775",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "GA",
"license": "RN190775",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "paige.gantt.p2@direct.gmg.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "1000 Medical Center Blvd",
"city": "Lawrenceville",
"state": "GA",
"country_code": "US",
"postal_code": "300467694",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PAIGE",
"last_name": "ROBERTS",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.