Individual provider Active NPI

Lodian Orlando Thorpe

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1861088015
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN260245 Issued in GA
Practice address
3200 Panthersville Rd
Decatur, GA 30034-3831
Phone
(404) 212-3400
Fax
(404) 212-3202
NPI assigned
Dec 11, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 20

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.

View all 20

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Pruitthealth Hospice Inc 42 clinicians

Practice addresses (Care Compare)

1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (404) 292-2081

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
I20221214000688 GA Practitioner - Nurse Practitioner 5193194173 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Hospice, Inc CurrentSince Oct 17, 2022 Accepting new patients
Pruitthealth Hospice, Inc Current Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Physicians at Home PC Past Accepting new patients

Locations

6060 Lakeside Commons Dr
Macon, GA 31210
Phone (478) 745-9204

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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 RN260245 GA Primary

Addresses

Primary practice location

3200 Panthersville Rd
Decatur, GA 30034-3831

Mailing address

3200 Panthersville Rd
Decatur, GA 30034-3831
Phone (404) 212-3400

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1861088015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PANTHERSVILLE RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343831",
            "telephone_number": "404-212-3400",
            "fax_number": "404-212-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PANTHERSVILLE RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343831",
            "telephone_number": "404-212-3400",
            "fax_number": "404-212-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORPE",
        "first_name": "LODIAN",
        "middle_name": "ORLANDO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN260245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.