Individual provider Active NPI

Lindsay Fernandez, NP

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1730730581
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09190769 Issued in GA
Practice address
102 Saint Johns PL
Macon, GA 31210-8606
Phone
(478) 319-1445
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 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 F09190769 GA Primary

Addresses

Primary practice location

102 Saint Johns PL
Macon, GA 31210-8606

Mailing address

102 Saint Johns PL
Macon, GA 31210-8606
Phone (478) 319-1445

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
I20191226000443 GA Practitioner - Nurse Practitioner 2466886569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists of GeorgiaGroup PAC ID 1153312574, 9 clinicians

Practice addresses (Care Compare)

5400 Bowman Rd
Suite 100
Macon, GA 31210-8879
Phone 47874565761204

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09190769GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialists of Georgia CurrentSince Mar 1, 2020 Accepting new patients
Radiology Associates of Macon PC CurrentSince Jan 1, 2020 Accepting new patients
Gastroenterology Associates of Central Ga, LLC PastSince Mar 1, 2020 Accepting new patients

Locations

5400 Bowman Rd
Macon, GA 31210
Phone (478) 621-4501

770 Pine St
Ste 290
Macon, GA 31201
Phone (478) 743-1458

5400 Bowman Rd
Ste 100
Macon, GA 31210
Phone (478) 745-6576

116 Tommy Stalnaker Dr
#A
Warner Robins, GA 31088
Phone (478) 742-4847

Interoperability endpoints

  • Direct secure messaging: lfernandez433148@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1730730581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SAINT JOHNS PL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108606",
            "telephone_number": "478-319-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SAINT JOHNS PL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108606",
            "telephone_number": "478-319-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LINDSAY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F09190769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.