Individual provider Active NPI

Anthony Gatens

  • Family Nurse Practitioner
  • Lagrange, GA
National Provider Identifier
1750735619
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R092397 Issued in AR
Practice address
2169 W Point Rd
Lagrange, GA 30240-4002
Phone
(706) 668-5140
Fax
(706) 668-5142
NPI assigned
Apr 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 R092397 AR Primary

Addresses

Primary practice location

2169 W Point Rd
Lagrange, GA 30240-4002

Mailing address

2169 W Point Rd
Lagrange, GA 30240-4002
Phone (706) 668-5140

Other practice location 1

117 Whiteman Ln
Searcy, AR 72143-8310
Phone (501) 322-5986

Other practice location 2

153 S College St
Hamilton, GA 31811-5306
Phone (706) 801-0251

Other practice location 3

2000 Samglenn Dr Ste 200
Auburn, AL 36830-6549
Phone (334) 752-7022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170517001184 GA Practitioner - Nurse Practitioner 9335416676 Reassigns benefits to 3 organizations
I20220331001598 AL Practitioner - Nurse Practitioner 9335416676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgencare, LLCGroup PAC ID 7113250325, 18 clinicians

Practice addresses (Care Compare)

16 Market Square Rd
Newnan, GA 30265-5613
Phone (706) 668-5140

2000 Samglenn Dr
Suite 200
Auburn, AL 36830-6549
Phone (334) 752-7022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R092397ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lagrange Emergency Physicians, LLC CurrentSince Mar 8, 2017 Accepting new patients
Livwell Health LLC CurrentSince Mar 1, 2023 Accepting new patients
Miller Family Medicine Clinic, P.C. Past Accepting new patients

Locations

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

210 W Broome St
Lagrange, GA 30240
Phone (706) 668-5140

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1750735619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 W POINT RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404002",
            "telephone_number": "706-668-5140",
            "fax_number": "706-668-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 W POINT RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404002",
            "telephone_number": "706-668-5140",
            "fax_number": "706-668-5142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Whiteman Ln",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721438310",
            "country_code": "US",
            "telephone_number": "501-322-5986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "153 S College St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "GA",
            "postal_code": "318115306",
            "country_code": "US",
            "telephone_number": "706-801-0251",
            "fax_number": "706-801-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Samglenn Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368306549",
            "country_code": "US",
            "telephone_number": "334-752-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATENS",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "R092397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.