Individual provider Active NPI

Laquindra Thornton, NP

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1831937416
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN255266 Issued in GA
Practice address
3910 Washington Rd
Augusta, GA 30907-2349
Phone
(205) 644-8256
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN255266 GA
Family Nurse Practitioner 363LF0000X RN255266 GA Primary

Addresses

Primary practice location

3910 Washington Rd
Augusta, GA 30907-2349

Mailing address

1967 Eliam Rd
Elberton, GA 30635-5915
Phone (706) 726-7382

Other names 1

  • Laquindra Wilson 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
I20241102000381 GA Practitioner - Nurse Practitioner 5294268975 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN255266GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Jul 22, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

3910 Washington Rd
Augusta, GA 30907
Phone (205) 644-8256

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

440 US Highway 84 E
Cairo, GA 39828
Phone (229) 307-2075

3201 Macon Rd
Ste 109
Columbus, GA 31906
Phone (706) 225-8773

3615 Browns Bridge Rd
#A
Cumming, GA 30028
Phone (678) 456-4273

25 Highland Xing S
Ellijay, GA 30540
Phone (706) 273-1954

125 Benjamin H Hill Dr SW
Fitzgerald, GA 31750
Phone (229) 635-4004

162 E Jarman St
Hazlehurst, GA 31539
Phone (912) 209-0239

1028 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 255-4057

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

2531 N Columbia St
Milledgeville, GA 31061
Phone (478) 387-2097

6999 Abercorn St
Savannah, GA 31405
Phone (912) 228-3523

14336 US Highway 19 S
Thomasville, GA 31757
Phone (229) 233-6705

1609 Norman Dr
Ste A2
Valdosta, GA 31601

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.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1831937416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 ELIAM RD",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306355915",
            "telephone_number": "706-726-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 WASHINGTON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072349",
            "telephone_number": "205-644-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "LAQUINDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN255266",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN255266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAQUINDRA",
            "last_name": "WILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.