Emily Templeton Webb, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Lafayette, GA

NPI 1669721007 · NPPES record last updated Aug 30, 2012

Key facts

NPI
1669721007
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN213372 (GA)
Practice address
611 East Villanow Street
Lafayette, GA 30728
Phone
(706) 638-1606
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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 3

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Health Partners Foundation Inc (458 clinicians)

Practice addresses (Care Compare)

12978 N Main Streer
Trenton, GA 30752-2241
Phone (706) 657-4183

611 E Villanow St
La Fayette, GA 30728-2618
Phone (706) 638-1606

615 E Villanow St
La Fayette, GA 30728-2618
Phone (706) 638-1606

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital · Chattanooga, TN · CCN 440091
  • Commonspirit-Memorial Hospital-North Georgia Hospital · Ringgold, GA · CCN 110236

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100 (apm)
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in GA, TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20121026000495 GA Practitioner - Nurse Practitioner 9335399351 Reassigns benefits to 1 organization
I20130211000333 TN Practitioner - Nurse Practitioner 9335399351 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN213372GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc Current
since Sep 2, 2012
Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Memorial Health Partners Foundation Inc Current
since Sep 2, 2012
Accepting new patients

Locations

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

12978 N Main St
Trenton, GA 30752
Phone (706) 657-4183

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

Interoperability endpoints

  • Direct secure messaging: ewebb132193@direct.stlukeshealth.org
  • Direct secure messaging: emilywebb@tnmhpf.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN213372 GA Yes

Addresses

Primary practice location

611 East Villanow Street
Lafayette, GA 30728

Mailing address

611 East Villanow Street
Lafayette, GA 30728
Phone (706) 638-1606

Other providers in Lafayette, GA

All providers in Lafayette, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.