Active NPI
Lyndy Croft
- Family Nurse Practitioner
- Hiram, GA
National Provider Identifier
1891283115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN181601
- Practice address
- 176 Charles Hardy Pkwy Unit C
Hiram, GA 30141-1836 - Phone
- (678) 945-8200
- Fax
- (678) 945-8209
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN181601 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN181601 | GA | Primary |
Addresses
Primary practice location
176 Charles Hardy Pkwy Unit C
Hiram, GA 30141-1836
Mailing address
176 Charles Hardy Pkwy Unit C
Hiram, GA 30141-1836
Phone (789) 458-2006
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CDTPFPWHW0050 | ||
| Direct Messaging Address | lyndy.croft@wellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN181601 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
Interoperability endpoints
- lcroft17548@directwellstar.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Obstetrics & Gynecology Physician
- Marietta, GA
- NPI 1538465596
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1891283115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 CHARLES HARDY PKWY UNIT C",
"city": "HIRAM",
"state": "GA",
"postal_code": "301411836",
"telephone_number": "789-458-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 CHARLES HARDY PKWY UNIT C",
"city": "HIRAM",
"state": "GA",
"postal_code": "301411836",
"telephone_number": "678-945-8200",
"fax_number": "678-945-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROFT",
"first_name": "LYNDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "GA",
"license": "RN181601",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN181601",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CDTPFPWHW0050",
"affiliation": "N",
"address_1": "176 Charles Hardy Pkwy Unit C",
"city": "Hiram",
"state": "GA",
"country_code": "US",
"postal_code": "301411836",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lyndy.croft@wellstar.org",
"affiliation": "N",
"address_1": "176 Charles Hardy Pkwy Unit C",
"city": "Hiram",
"state": "GA",
"country_code": "US",
"postal_code": "301411836",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hiram, GA
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- CSRP Integrative Psychiatry Limited Liability Company
- Sylvia Shannon Cunningham, FNP
- D&S Seven LLC
- Ami Natvarlal Dalsania, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.