Individual provider Active NPI

Veronica W Githaite

  • Primary Care Nurse Practitioner
  • Lithia Springs, GA
National Provider Identifier
1578183117
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN209248 Issued in GA
Practice address
939 Thornton Rd
Lithia Springs, GA 30122-2634
Phone
(678) 973-5664
NPI assigned
Apr 23, 2020
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN209248 GA Primary

Addresses

Primary practice location

939 Thornton Rd
Lithia Springs, GA 30122-2634

Mailing address

939 Thornton Road
Lithia Springs, GA 30122

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Georgia

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
I20220711000718 GA Practitioner - Nurse Practitioner 4789064510 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN209248GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC-Behavioral Health of West Georgia CurrentSince Jan 13, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

100 Professional Pl
Ste 110
Carrollton, GA 30117
Phone (770) 834-0818

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

101 Quartz Dr
Ste 103A
Villa Rica, GA 30180
Phone (770) 456-3266

101 Quartz Dr
Ste 103B
Villa Rica, GA 30180
Phone (770) 812-3580

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1578183117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 THORNTON ROAD",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "30122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 THORNTON RD",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222634",
            "telephone_number": "678-973-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITHAITE",
        "first_name": "VERONICA",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN209248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Georgia",
            "affiliation": "N",
            "address_1": "939 Thornton Rd",
            "city": "Lithia Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301222634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

Verify at the official NPI Registry.