Lorie Maxwell Startup, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN098171 Issued in GA

Practice address

129 Bankhead Hwy
Carrollton, GA 30117-3425

Phone

(770) 838-8440

NPI assigned

Apr 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Susan Lorie Maxwell Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Georgia Cardiology Associates, PCGroup PAC ID 4385773373, 6 clinicians

City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
• Southeastern Regional Medical Center, Inc Hospital, Newnan, GA, CCN 110233
• Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015

Merit-based Incentive Payment System (MIPS)

Final score

92.3 of 100Reported as group

Quality

94.61

Improvement activities

40

Cost

78.67

Merit-based Incentive Payment System (MIPS)

Final score

79.74 of 100Reported as group

Quality

63.81

Promoting interoperability

100

Improvement activities

40

Cost

57.71

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lstartup147789@cityofhope.direct-ci.com

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.

• City of Hope Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Newnan, GA
  • NPI 1447520333
  Medicare reassignment Care Compare group NPD
• West Georgia Cardiology Associates, PC

  • Cardiovascular Disease Physician
  • Carrollton, GA
  • NPI 1932421187
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeastern Regional Medical Center, Inc.

  dba City of Hope Cancer Center Atlanta

  • General Acute Care Hospital
  • Newnan, GA
  • NPI 1235417288
  Care Compare affiliation
• Tanner Medical Center, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Carrollton, GA
  • NPI 1801883780
  Care Compare affiliation
• TMC/Villa Rica Hospital, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Villa Rica, GA
  • NPI 1851388748
  Care Compare affiliation

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1871112110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BANKHEAD HWY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173425",
            "telephone_number": "770-838-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BANKHEAD HWY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173425",
            "telephone_number": "770-838-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARTUP",
        "first_name": "LORIE",
        "middle_name": "MAXWELL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "GA",
            "license": "098171",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN098171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MAXWELL",
            "middle_name": "LORIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keatrina T Springer, CPNP
• Cindy White Spruell, PHARM.D.
• Iris Stanford, DPT
• Jon L Stanford, MD
• Krista J Stapleton, O.D.
• Ray Stedwell, M.D.
• Christina Lynn Stein, A.P.R.N., B.C., N.P.
• Jonah Levi Stephens, PHARMD
• Emily Stephenson
• Charles Edward Stevenson Jr., M.D.

• Family Nurse Practitioner in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.