Individual provider Active NPI

Ladonna M Hutcheson, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1720268832
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN154042 Issued in GA
Practice address
40 Technology Pkwy S Ste 300
Norcross, GA 30092-2924
Phone
(800) 226-8874
NPI assigned
Nov 6, 2007
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN154042 GA Primary

Addresses

Primary practice location

40 Technology Pkwy S Ste 300
Norcross, GA 30092-2924

Mailing address

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988

Other practice location 1

111 North Third St
Glenwood, GA 30428
Phone (912) 523-2602

Other practice location 2

1608 Meadows Ln Ste 1
Vidalia, GA 30474-9907
Phone (912) 537-9488

Other practice location 3

3193 E 1st St
Vidalia, GA 30474-8830
Phone (912) 537-8588

Other practice location 4

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988

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
I20100604000015 GA Practitioner - Nurse Practitioner 9335278100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
QSM-Ga, IncGroup PAC ID 3779842729, 12 clinicians

Practice addresses (Care Compare)

960 Hawthorne Ave
Athens, GA 30606-2140
Phone (706) 549-1613

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
QSM-Ga, Inc CurrentSince Mar 16, 2020 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Sep 18, 2024 Accepting new patients

Locations

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

960 Hawthorne Ave
Athens, GA 30606
Phone (706) 502-0503

1000 Briarcliff Rd NE
Atlanta, GA 30306
Phone (404) 875-4890

3535 Ashton Woods Dr NE
Brookhaven, GA 30319
Phone (770) 451-0236

2451 Peachtree Industrial Blvd
Buford, GA 30518
Phone (770) 614-2800

3200 Panthersville Rd
Decatur, GA 30034
Phone (404) 212-3400

2560 Flintridge Rd
Gainesville, GA 30501
Phone (770) 536-2291

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

1000 Dorset Rd
Port Wentworth, GA 31407
Phone (912) 964-1515

12825 White Bluff Rd
Savannah, GA 31419
Phone (912) 660-1683

633 Falls Rd
Toccoa, GA 30577
Phone (706) 502-0503

3193 E 1st St
Vidalia, GA 30474
Phone (912) 537-8588

Interoperability endpoints

  • Direct secure messaging: ladonnahutcheson@fgeofferyc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1720268832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "305-466-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TECHNOLOGY PKWY S STE 300",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922924",
            "telephone_number": "800-226-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 North Third St",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "GA",
            "postal_code": "30428",
            "country_code": "US",
            "telephone_number": "912-523-2602",
            "fax_number": "912-523-2603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1608 Meadows Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304749907",
            "country_code": "US",
            "telephone_number": "912-537-9488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3193 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748830",
            "country_code": "US",
            "telephone_number": "912-537-8588",
            "fax_number": "912-537-3488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 S Ocean Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330192915",
            "country_code": "US",
            "telephone_number": "305-466-9988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHESON",
        "first_name": "LADONNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN154042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.