Individual provider Active NPI

Monique Francesca Pugh, FNP

  • Family Nurse Practitioner
  • Lagrange, GA
National Provider Identifier
1750999363
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216543 Issued in GA
Practice address
1495 Lafayette Pkwy
Lagrange, GA 30241-2552
Phone
(706) 884-7822
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN216543 GA Primary

Addresses

Primary practice location

1495 Lafayette Pkwy
Lagrange, GA 30241-2552

Mailing address

92 Valley Bluff Dr
Hamilton, GA 31811-7602
Phone (706) 341-7522

Other practice location 1

371 Newnan Crossing Byp Ste 103
Newnan, GA 30265-3888
Phone (770) 400-8410

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
I20200916003177 GA Practitioner - Nurse Practitioner 2062830441 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
73.65
Improvement activities
40
Cost
84.4

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Georgia Primary Care, PC Single Specialty CurrentSince Jun 24, 2023 Accepting new patients
Afc Physicians of Georgia Primary Care, PC CurrentSince Jun 24, 2023 Accepting new patients
Undeniable Healthcare Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Peachtree Immediate Care FP, LLC Single Specialty CurrentSince Aug 5, 2020 Accepting new patients
The Allergy Center at Brookstone PC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Jeffrey a. Sherman, MD, PC Single Specialty PastSince Nov 1, 2022 Accepting new patients

Locations

6509 Gateway Rd
Columbus, GA 31909
Phone (706) 243-0174

1220 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 324-4012

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

26 Parkway Dr
Ft Oglethorpe, GA 30742
Phone (706) 956-2846

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

1495 Lafayette Pkwy
Lagrange, GA 30241
Phone (706) 883-7322

107 Harwell Ave
Lagrange, GA 30240
Phone (706) 322-1700

371 Newnan Crossing Byp
Ste 103
Newnan, GA 30265
Phone (770) 400-8410

1280 Highway 74 S
Ste 100
Peachtree Cty, GA 30269
Phone (678) 961-5150

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24615/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71456

Organizations & group practices 6

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1750999363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 VALLEY BLUFF DR",
            "city": "HAMILTON",
            "state": "GA",
            "postal_code": "318117602",
            "telephone_number": "706-341-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 LAFAYETTE PKWY",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412552",
            "telephone_number": "706-884-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 Newnan Crossing Byp Ste 103",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302653888",
            "country_code": "US",
            "telephone_number": "770-400-8410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "MONIQUE",
        "middle_name": "FRANCESCA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.