Individual provider Active NPI

Exie Latrice Lamar

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1831584218
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN181187 Issued in GA
Practice address
2738 N Decatur Rd
Decatur, GA 30033-5910
Phone
(404) 508-8058
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 RN181187 GA Primary

Addresses

Primary practice location

2738 N Decatur Rd
Decatur, GA 30033-5910

Mailing address

101 Longleaf Dr
Jackson, GA 30233-5004
Phone (770) 597-6862

Other practice location 1

409 W Solomon St
Griffin, GA 30223-2831
Phone (678) 688-8700

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
I20160517002761 GA Practitioner - Nurse Practitioner 7113216979 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN181187GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Medical Center, Inc CurrentSince Mar 21, 2016 Accepting new patients
One Stop Medical Services CurrentSince Oct 9, 2019 Accepting new patients
Minuteclinic LLC Family CurrentSince Oct 9, 2018 Accepting new patients
Southside Medical Center, Inc. CurrentSince Mar 21, 2016 Accepting new patients
Grow Healthcare Group PA CurrentSince Feb 14, 2025 Accepting new patients
Community Care Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients
One Stop Medical Clinic Past Accepting new patients
Clark Robinson, M.D.,P.C. Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

1039 Ridge Ave SW
Atlanta, GA 30315
Phone (407) 761-8640

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

2429 Mlk Jr Dr SW
Atlanta, GA 30311
Phone (404) 691-3344

2738 N Decatur Rd
Decatur, GA 30033
Phone (404) 508-8058

6559 Church St
Douglasville, GA 30134
Phone (770) 490-2634

409 W Solomon St
Griffin, GA 30223
Phone (678) 688-8700

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

Interoperability endpoints

  • Direct secure messaging: exie.lamar.p1@direct.alegiscare.nextgenshare.com

Organizations & group practices 8

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1831584218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LONGLEAF DR",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302335004",
            "telephone_number": "770-597-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335910",
            "telephone_number": "404-508-8058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 W Solomon St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302232831",
            "country_code": "US",
            "telephone_number": "678-688-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMAR",
        "first_name": "EXIE",
        "middle_name": "LATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN181187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.