Individual provider Active NPI

Lori Patricia Bain, NP-C

  • Nurse Practitioner
  • Rome, GA
National Provider Identifier
1831738368
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN146708 Issued in GA
Practice address
420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone
(706) 509-3000
NPI assigned
Jan 1, 2020
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN146708 GA Primary

Addresses

Primary practice location

420 E 2ND Ave Ste 103
Rome, GA 30161-3210

Mailing address

420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL connect

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200302000275 AL Practitioner - Nurse Practitioner 4082041124 Reassigns benefits to 1 organization
I20200918000488 GA Practitioner - Nurse Practitioner 4082041124 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians
Floyd Cherokee Medical Center LLCGroup PAC ID 4880949775, shared by 4 NPIs, 10 clinicians

Practice addresses (Care Compare)

209 Cooley Dr
Suite 101
Villa Rica, GA 30180-7057
Phone (770) 456-0911

395 Northwood Dr
Centre, AL 35960-1045
Phone (256) 927-4900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN146708GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC Current Accepting new patients
Harbin Clinic, LLC CurrentSince Oct 12, 2020 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Aug 1, 2021 Accepting new patients
App of Alabama Ed PLLC CurrentSince Jan 1, 2020 Accepting new patients
Harbin Clinic, LLC CurrentSince Oct 12, 2020 Accepting new patients
Floyd Healthcare Management Inc Family CurrentSince Aug 1, 2021 Accepting new patients

Locations

301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (770) 382-0029

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

302 Shorter Ave NW
Rome, GA 30165
Phone (706) 291-3700

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Interoperability endpoints

  • Direct secure messaging: lbain913959@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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.

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": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1831738368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "LORI",
        "middle_name": "PATRICIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN146708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connect",
            "affiliation": "N",
            "address_1": "301 E 18th St",
            "city": "Anniston",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362073952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.