Individual provider Active NPI

Peggy Darlene Troyer, FNP

  • Family Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1720622921
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN119996 Issued in GA
Practice address
1320 Moore Rd
Newnan, GA 30263-5221
Phone
(770) 714-5394
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN119996 GA Primary

Addresses

Primary practice location

1320 Moore Rd
Newnan, GA 30263-5221

Mailing address

1615 Highway 34 E
Ste B
Newnan, GA 30265-1325
Phone (770) 400-8400

Other practice location 1

1075 Lafayette Pkwy
LaGrange, GA 30241-3504
Phone (770) 400-8400

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
I20200526000682 GA Practitioner - Nurse Practitioner 5597186783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitaledge LLC Family CurrentSince Apr 28, 2024 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince May 1, 2023 Accepting new patients
McClinton ENT of Newnan, LLC CurrentSince Sep 1, 2022 Accepting new patients
Vitaledge Health & Wellness CurrentSince Nov 10, 2024 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

371 Newnan Crossing Byp
Ste 103
Newnan, GA 30265
Phone (770) 400-8410

795 Poplar Rd
Ste 302
Newnan, GA 30265
Phone (770) 683-2155

2581 Highway 54
Ste B3
Peachtree City, GA 30269
Phone (770) 714-3106

Organizations & group practices 4

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1720622921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HIGHWAY 34 E",
            "address_2": "STE B",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651325",
            "telephone_number": "770-400-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MOORE RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635221",
            "telephone_number": "770-714-5394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Lafayette Pkwy",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302413504",
            "country_code": "US",
            "telephone_number": "770-400-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROYER",
        "first_name": "PEGGY",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN119996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.