Individual provider Active NPI

Theresa A B Lawrence-Ford, M.D.

  • Rheumatology Physician
  • Lawrenceville, GA
National Provider Identifier
1619935624
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
021326 Issued in GA
Practice address
600 Professional Dr
Suite 260
Lawrenceville, GA 30046-7651
Phone
(770) 822-1090
Fax
(770) 513-9735
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 021326 GA Primary

Addresses

Primary practice location

600 Professional Dr
Suite 260
Lawrenceville, GA 30046-7651

Mailing address

600 Professional Dr
Suite 260
Lawrenceville, GA 30046-7651
Phone (770) 822-1090

Other identifiers 1

IdentifierTypeStateIssuer
00228148BMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130227000069 GA Practitioner - Rheumatology 4880849728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Tufts University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Georgia Rheumatology Group, PCGroup PAC ID 3971599739, 2 clinicians

Practice addresses (Care Compare)

500 Medical Ctr Blvd
Suite 290
Lawrenceville, GA 30046-3330
Phone (770) 822-1090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.68 of 100Reported as group
Quality
80.74
Improvement activities
40
Cost
91.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021326GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Rheumatology Group, PC Rheumatology CurrentSince Jan 1, 2018 Accepting new patients

Locations

500 Medical Center Blvd
Ste 290
Lawrenceville, GA 30046
Phone (770) 822-1090

600 Professional Dr
Ste 260
Lawrenceville, GA 30046
Phone (404) 822-1090

Interoperability endpoints

  • Direct secure messaging: theresa.lawrence.ford@direct.ngrg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1619935624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR",
            "address_2": "SUITE 260",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467651",
            "telephone_number": "770-822-1090",
            "fax_number": "770-513-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR",
            "address_2": "SUITE 260",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467651",
            "telephone_number": "770-822-1090",
            "fax_number": "770-513-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE-FORD",
        "first_name": "THERESA",
        "middle_name": "A B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "021326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00228148B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.