Individual provider Active NPI

Laurie Hutchins, APRN

  • Family Nurse Practitioner
  • Mount Vernon, GA
National Provider Identifier
1780179390
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN211666 Issued in GA
Practice address
118 E Broad St
Mount Vernon, GA 30445-3018
Phone
(912) 583-2277
Fax
(912) 583-2286
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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 RN211666 GA Primary

Addresses

Primary practice location

118 E Broad St
Mount Vernon, GA 30445-3018

Mailing address

215 N Coleman St
Swainsboro, GA 30401-3530
Phone (478) 237-2638

Other practice location 1

118 Alice Coleman Dr
Vidalia, GA 30474-8860
Phone (912) 537-6565

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
I20181213003012 GA Practitioner - Nurse Practitioner 0143565432 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Healthcare Center, Inc. CurrentSince Aug 15, 2018 Accepting new patients
East Georgia Healthcare Center, Inc. Current Accepting new patients
East Georgia Healthcare Center, Inc. CurrentSince Aug 15, 2018 Accepting new patients

Locations

118 E Broad St
Mount Vernon, GA 30445
Phone (912) 583-2277

215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638

118 Alice Coleman Dr
Vidalia, GA 30474
Phone (912) 537-6565

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1780179390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N COLEMAN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013530",
            "telephone_number": "478-237-2638",
            "fax_number": "478-237-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E BROAD ST",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304453018",
            "telephone_number": "912-583-2277",
            "fax_number": "912-583-2286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Alice Coleman Dr",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748860",
            "country_code": "US",
            "telephone_number": "912-537-6565",
            "fax_number": "912-537-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "LAURIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN211666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, GA

Sources for this page

Verify at the official NPI Registry.