Individual provider Active NPI

Michelle Marie Ladewig, FNP-C

  • Primary Care Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1821447434
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN170012 Issued in GA
Practice address
667 Lanier Park Dr
Gainesville, GA 30501-2059
Phone
(770) 532-7501
Fax
(770) 536-3031
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN170012 GA Primary

Addresses

Primary practice location

667 Lanier Park Dr
Gainesville, GA 30501-2059

Mailing address

667 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (770) 532-7501

Other names 1

  • Michelle Marie Veino Former name

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
I20160718000440 GA Practitioner - Nurse Practitioner 1052603719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gainesville Internal Medicine Group, LLCGroup PAC ID 5698662435, 3 clinicians

Practice addresses (Care Compare)

667 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (770) 532-7501

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN170012GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Internal Medicine Group LLC CurrentSince Apr 10, 2023 Accepting new patients
Breathe Better Allergy Asthma & Sinus Center, Inc CurrentSince Jan 8, 2019 Accepting new patients

Locations

950 S Enota Dr NE
Ste A
Gainesville, GA 30501
Phone (678) 450-8969

667 Lanier Park Dr
Gainesville, GA 30501
Phone (770) 532-7501

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BACACA

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1821447434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "770-532-7501",
            "fax_number": "770-532-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "770-532-7501",
            "fax_number": "770-536-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADEWIG",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN170012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "VEINO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.