Individual provider Active NPI

Maria Alejandra Lerma, P.A.

  • Physician Assistant
  • Dawsonville, GA
National Provider Identifier
1750760914
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7555 Issued in GA
Practice address
5959 Highway 53 E Ste 100
Dawsonville, GA 30534-6288
Phone
(770) 887-1668
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7555 GA Primary

Addresses

Primary practice location

5959 Highway 53 E Ste 100
Dawsonville, GA 30534-6288

Mailing address

PO Box 307
Cumming, GA 30028-0307
Phone (770) 887-1668

Other practice location 1

260 Elm St
Cumming, GA 30040-2467
Phone (770) 887-1668

Other names 1

  • Ms. Maria Alejandra Eguiluz 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
I20160712003183 GA Practitioner - Physician Assistant 0042502064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

1080 Dawsonville Hwy
Suite a
Gainesville, GA 30501-2621
Phone (678) 270-1060

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2804
Phone (770) 222-8900

3885 Mundy Mill Rd
Suite 114
Oakwood, GA 30566-3432
Phone (678) 971-1892

823 Loganville Hwy
Bethlehem, GA 30620-1709
Phone (470) 866-2396

868 Buford Rd
Cumming, GA 30041-2716
Phone (678) 284-2006

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7555GAMDPhysician Assistant

Organizations & group practices 1

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": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1750760914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300280307",
            "telephone_number": "770-887-1668",
            "fax_number": "770-781-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 HIGHWAY 53 E STE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346288",
            "telephone_number": "770-887-1668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Elm St",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300402467",
            "country_code": "US",
            "telephone_number": "770-887-1668",
            "fax_number": "770-781-9937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LERMA",
        "first_name": "MARIA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "EGUILUZ",
            "middle_name": "ALEJANDRA",
            "prefix": "MS.",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.