Individual provider Active NPI

Georgia H Rooks, LPN

  • Licensed Practical Nurse
  • Macon, GA
National Provider Identifier
1811193030
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN070207 Issued in GA
Practice address
780 Baconsfield Dr
Macon, GA 31211-1442
Phone
(478) 741-0400
Fax
(478) 741-0400
NPI assigned
Jun 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN070207 GA Primary

Addresses

Primary practice location

780 Baconsfield Dr
Macon, GA 31211-1442

Mailing address

965 Putnam St
780 Baconsfield Dr
Macon, GA 31206-2027
Phone (478) 741-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN070207GAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811193030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 PUTNAM ST",
            "address_2": "780 BACONSFIELD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312062027",
            "telephone_number": "478-741-0400",
            "fax_number": "478-741-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 BACONSFIELD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111442",
            "telephone_number": "478-741-0400",
            "fax_number": "478-741-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOKS",
        "first_name": "GEORGIA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN070207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.