Active NPI
Lotus Group LLC
- Infusion Therapy Clinic/Center
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- LOTUS GROUP LLC
- Practice address
- 1605 Vernon Rd Ste 1600
Lagrange, GA 30240-4166 - Phone
- (706) 577-2883
- NPI assigned
- Jun 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lethenia Joy Baker, MD
- Title
- Medical Director
- Phone
- (706) 577-2883
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | |||
| General Practice Registered Nurse | 163WG0000X | |||
| Infusion Therapy Registered Nurse | 163WI0500X | |||
| Nutrition Support Registered Nurse | 163WN1003X | |||
| Integrative Medicine Physician | 202D00000X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1605 Vernon Rd Ste 1600
Lagrange, GA 30240-4166
Mailing address
1605 Vernon Rd Ste 1600
Lagrange, GA 30240-4166
Phone (706) 577-2883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003135520 | Medicaid | GA |
Other names 1
- ReNew Infusion & Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2284498 | Renew Infusion & Wellness | Certificate of waiver | Jun 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
1605 Vernon Rd
Ste 1600
Lagrange, GA 30240
Phone (706) 407-1624
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Thomaston, GA
- NPI 1306073127
-
- Family Nurse Practitioner
- Columbus, GA
- NPI 1336573625
-
- Family Nurse Practitioner
- Carrollton, GA
- NPI 1992100267
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1821379033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1831874395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 VERNON RD STE 1600",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404166",
"telephone_number": "706-577-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 VERNON RD STE 1600",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404166",
"telephone_number": "706-577-2883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "LETHENIA",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "706-577-2883",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Nutrition Support",
"state": null,
"license": null,
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135520",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ReNew Infusion & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.