Active NPI
Lauren Michelle Little, D.O.
- Family Medicine Physician
- Calhoun, GA
National Provider Identifier
1689024093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 78989
- Practice address
- 100 Willowbrook Way SE
Calhoun, GA 30701-1404 - Phone
- (706) 529-3025
- Fax
- (706) 383-6578
- NPI assigned
- Jun 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 78989 | GA | Primary |
Addresses
Primary practice location
100 Willowbrook Way SE
Calhoun, GA 30701-1404
Mailing address
100 Willowbrook Way SE
Calhoun, GA 30701-1404
Phone (706) 529-3025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78989 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1689024093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILLOWBROOK WAY SE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307011404",
"telephone_number": "706-529-3025",
"fax_number": "706-383-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WILLOWBROOK WAY SE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307011404",
"telephone_number": "706-529-3025",
"fax_number": "706-383-6578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "LAUREN",
"middle_name": "MICHELLE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "78989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.