Adrienne Kathleen Earl, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN186685 Issued in GA

Practice address

610 3Rd St
Suite 202
Macon, GA 31201-3294

Phone

(478) 464-2600

Fax

(478) 474-1043

NPI assigned

Jun 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gastroenterology Associates of Central Ga, LLC

  • Specialist
  • Macon, GA
  • NPI 1528192176
  Medicare reassignment NPD
• Synergetic Healings LLC

  • Clinical Social Worker
  • Gray, GA
  • NPI 1831967884
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1790190817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 3RD ST",
            "address_2": "SUITE 202",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013294",
            "telephone_number": "478-464-2600",
            "fax_number": "478-474-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 3RD ST",
            "address_2": "SUITE 202",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013294",
            "telephone_number": "478-464-2600",
            "fax_number": "478-474-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARL",
        "first_name": "ADRIENNE",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN186685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Mathews Dykes, NP-C
• Megan White Dykes
• Patrick Steven Dziedzic, PT
• Jack R Eades, MD
• Ear Dynamics, Inc.
• Meagan Earl
• Julian M Earls Jr., M.D.
• Pamela Denise Earls, OD
• Ashley Clack Eason, MD
• Lindsey Eason, LMFT

• Family Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.