Individual provider Active NPI

Lloren Averi Lawrence, PA-C

  • Physician Assistant
  • Hinesville, GA
National Provider Identifier
1760059455
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13528 Issued in GA
Practice address
508 N Main St Ste a
Hinesville, GA 31313-2570
Phone
(912) 785-2100
Fax
(912) 368-3868
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 13528 GA Primary

Addresses

Primary practice location

508 N Main St Ste a
Hinesville, GA 31313-2570

Mailing address

508 N Main St Ste a
Hinesville, GA 31313-2570
Phone (912) 785-2100

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
I20251124000229 GA Practitioner - Physician Assistant 4981196359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Behavioral Health, P.C.Group PAC ID 6204016611, 11 clinicians
Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

508 N Main St
Suite a
Hinesville, GA 31313-2512
Phone (912) 785-2100

508 N Main St
Suite a
Hinesville, GA 31313-2570
Phone (912) 785-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Nov 14, 2025 Accepting new patients
Horizon Behavioral Health, P.C. CurrentSince Nov 11, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Nov 14, 2025 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

508 N Main St
Ste A
Hinesville, GA 31313
Phone (912) 785-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lloren.lawrence.1@8042.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1760059455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N MAIN ST STE A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132570",
            "telephone_number": "912-785-2100",
            "fax_number": "912-368-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N MAIN ST STE A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132570",
            "telephone_number": "912-785-2100",
            "fax_number": "912-368-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "LLOREN",
        "middle_name": "AVERI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.