Active NPI
Neda Marie Jackson Lawson, APRN, FNP-C
- Family Nurse Practitioner
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN194562
- Practice address
- 1101 Nortec Dr SE
Conyers, GA 30013-5835 - Phone
- (770) 914-0116
- NPI assigned
- Aug 11, 2016
- Last updated
- Dec 1, 2022
- Sex
- Female
- Sole proprietor
- No
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 Nurse Practitioner | 363LF0000X | RN194562 | GA | Primary |
Addresses
Primary practice location
1101 Nortec Dr SE
Conyers, GA 30013-5835
Mailing address
3333 Riverwood Pkwy SE Ste 250
Atlanta, GA 30339-3304
Phone (770) 914-0116
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08191138 | Other | GA | AMERIGROUP |
| 003225270A | Medicaid | GA | |
| 003225270B | Medicaid | GA |
Other names 1
- Mrs. Neda Marie Jackson Lawson
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aylo Health, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339
Phone (770) 914-0016
1101 Nortec Dr SE
Conyers, GA 30013
Phone (678) 374-7514
1240 Eagles Landing Pkwy
Ste 110
Stockbridge, GA 30281
Phone (770) 389-3855
145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1740734490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 RIVERWOOD PKWY SE STE 250",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393304",
"telephone_number": "770-914-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 NORTEC DR SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300135835",
"telephone_number": "770-914-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON LAWSON",
"first_name": "NEDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN194562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "08191138",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003225270A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003225270B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NEDA",
"last_name": "LAWSON",
"middle_name": "MARIE JACKSON",
"prefix": "MRS.",
"credential": "APRN, FNP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.