Individual provider Active NPI

Esther Sweetheart Gensinger, NP

  • Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1538830708
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
204783 Issued in GA
Practice address
565 Maple Crest Dr
Lawrenceville, GA 30044-7430
Phone
(678) 663-9951
NPI assigned
Sep 27, 2021
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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 204783 GA Primary

Addresses

Primary practice location

565 Maple Crest Dr
Lawrenceville, GA 30044-7430

Mailing address

565 Maple Crest Dr
Lawrenceville, GA 30044-7430
Phone (678) 663-9951

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
I20230822003388 GA Practitioner - Nurse Practitioner 9537522636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 Langley Dr
Suite 1102
Lawrenceville, GA 30046-6932
Phone (470) 635-2225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204783GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alive Health and Wellness LLC CurrentSince Sep 19, 2022 Accepting new patients

Locations

250 Langley Dr
Ste 1102
Lawrenceville, GA 30046
Phone (678) 467-6210

377 W Pike St
Ste A3
Lawrenceville, GA 30046
Phone (404) 428-7983

Organizations & group practices 1

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": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1538830708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 MAPLE CREST DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447430",
            "telephone_number": "678-663-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 MAPLE CREST DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447430",
            "telephone_number": "678-663-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSINGER",
        "first_name": "ESTHER",
        "middle_name": "SWEETHEART",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "204783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.