Individual provider Active NPI

Lauren Goforth Faulk, APRN, FNP-C

  • Family Nurse Practitioner
  • Cordele, GA
National Provider Identifier
1720683055
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP280120 Issued in GA
Practice address
711 E 16TH Ave
Cordele, GA 31015-1513
Phone
(229) 271-9330
Fax
(229) 271-9245
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 APRN-NP280120 GA Primary

Addresses

Primary practice location

711 E 16TH Ave
Cordele, GA 31015-1513

Mailing address

711 E 16TH Ave
Cordele, GA 31015-1513
Phone (229) 271-9330

Other names 1

  • Lauren Marie Goforth Former name

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
I20210514000001 GA Practitioner - Nurse Practitioner 6800205220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic Georgia LLCGroup PAC ID 2961814694, 23 clinicians

Practice addresses (Care Compare)

304 N Westberry St
Sylvester, GA 31791-2125
Phone (229) 463-7071

500 Stanley St
Perry, GA 31069-3145
Phone (229) 463-7071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP280120GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince May 11, 2021 Accepting new patients
Careconnect Health, Inc. CurrentSince May 11, 2021 Accepting new patients
Careconnect Health, Inc. PastSince Apr 1, 2023 Accepting new patients
Plains Medical Center, Inc, PastSince Apr 1, 2023 Accepting new patients

Locations

602 E 16th Ave
Ste Ab
Cordele, GA 31015
Phone (229) 513-0700

711 E 16th Ave
Cordele, GA 31015
Phone (229) 271-9330

817 Griffin Ave
Eastman, GA 31023
Phone (478) 374-1801

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1720683055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151513",
            "telephone_number": "229-271-9330",
            "fax_number": "229-271-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151513",
            "telephone_number": "229-271-9330",
            "fax_number": "229-271-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK",
        "first_name": "LAUREN",
        "middle_name": "GOFORTH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP280120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GOFORTH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cordele, GA

Sources for this page

Verify at the official NPI Registry.