Active NPI
Lida Rajaee, FNP
- Family Nurse Practitioner
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN297207
- Practice address
- 5550 Bethelview Rd
Cumming, GA 30040-6859 - Phone
- (678) 456-4989
- NPI assigned
- Nov 1, 2021
- Last updated
- Mar 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN297207 | GA | Primary |
Addresses
Primary practice location
5550 Bethelview Rd
Cumming, GA 30040-6859
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211209001482 | GA | Practitioner - Nurse Practitioner | 7416347265 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1275 Hwy 54 W
Suite 201
Fayetteville, GA 30214-4538
2620 Elm Hill Pike
Nashville, TN 37214-3108
378 Marketplace Pkwy
Dawsonville, GA 30534-7266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC of Georgia LLC | Family | Current | Accepting new patients |
Locations
5550 Bethelview Rd
Cumming, GA 30040
Phone (678) 456-4054
455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776
378 Marketplace Pkwy
Dawsonville, GA 30534
Phone (470) 375-1995
3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170
2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211
Interoperability endpoints
- lida.rajaee@krogerhealth.eclinicaldirectplus.com
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": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741996800000",
"number": "1780349282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 ELM HILL PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 BETHELVIEW RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300406859",
"telephone_number": "678-456-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAEE",
"first_name": "LIDA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2025-03-15",
"certification_date": "2025-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN297207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.