Individual provider Active NPI

Lasagna Quinn-Freeman, ARNP

  • Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1679852768
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN186321 Issued in GA
Practice address
1425 Highway 34 E
Newnan, GA 30265-1323
Phone
(770) 304-3724
Fax
(770) 304-3726
NPI assigned
Aug 8, 2011
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 RN186321 GA Primary

Addresses

Primary practice location

1425 Highway 34 E
Newnan, GA 30265-1323

Mailing address

1425 Highway 34 E
Newnan, GA 30265-1323
Phone (770) 304-3724

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
I20110830000261 GA Practitioner - Nurse Practitioner 9335240456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology, Inc.Group PAC ID 4082715750, 6 clinicians

Practice addresses (Care Compare)

1425 E Hwy 34
Newnan, GA 30265-1323
Phone (770) 304-3724

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN186321GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Inc CurrentSince Jan 7, 2022 Accepting new patients

Locations

1425 Highway 34 E
Newnan, GA 30265
Phone (770) 304-3724

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1679852768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651323",
            "telephone_number": "770-304-3724",
            "fax_number": "706-576-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651323",
            "telephone_number": "770-304-3724",
            "fax_number": "770-304-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN-FREEMAN",
        "first_name": "LASAGNA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN186321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.