Individual provider Active NPI

Julie Teresa Lovelly, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1588290316
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9705 Issued in GA
Practice address
1220 Caroline St NE Ste a-230
Atlanta, GA 30307-2749
Phone
(678) 710-3980
NPI assigned
Mar 12, 2020
Last updated
Mar 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9705 GA Primary

Addresses

Primary practice location

1220 Caroline St NE Ste a-230
Atlanta, GA 30307-2749

Mailing address

747 Ralph McGill Blvd NE Unit 1308
Atlanta, GA 30312-1137
Phone (727) 207-2787

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
I20200417001854 GA Practitioner - Physician Assistant 0547690307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

1220 Caroline St NE
Suite a 230
Atlanta, GA 30307-2749
Phone (678) 710-3980

1829 Lawrenceville Hwy
Decatur, GA 30033-5728
Phone (404) 292-8335

1834 Clairmont Rd
Suite 100
Decatur, GA 30033-3405
Phone (404) 634-4443

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2804
Phone (770) 222-8900

450 14TH St NW
Atlanta, GA 30318-7963
Phone (404) 480-9797

6015 Roswell Rd
Suite B
Sandy Springs, GA 30328-4005
Phone (404) 689-4501

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1588290316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 RALPH MCGILL BLVD NE UNIT 1308",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121137",
            "telephone_number": "727-207-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CAROLINE ST NE STE A-230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072749",
            "telephone_number": "678-710-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELLY",
        "first_name": "JULIE",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.