Active NPI
Rory Lyn Lemoine
- Family Nurse Practitioner
- Buford, GA
National Provider Identifier
1891345823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN169563
- Practice address
- 2725 Mall of Georgia Blvd
Buford, GA 30519-8791 - Phone
- (678) 541-0339
- NPI assigned
- Sep 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN169563 | GA | Primary |
Addresses
Primary practice location
2725 Mall of Georgia Blvd
Buford, GA 30519-8791
Mailing address
3151 Dockside Dr
Gainesville, GA 30501-1470
Phone (678) 858-9005
Other names 1
- Rory Lyn Lemoine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169563 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadows Surgical Arts | Past | Accepting new patients | |
| Meadows Surgical Arts | Past | Accepting new patients |
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.
-
- Gynecology Physician
- Commerce, GA
- NPI 1316178171
-
- Specialist
- Toccoa, GA
- NPI 1942435516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1891345823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 DOCKSIDE DR",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305011470",
"telephone_number": "678-858-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 MALL OF GEORGIA BLVD",
"city": "BUFORD",
"state": "GA",
"postal_code": "305198791",
"telephone_number": "678-541-0339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMOINE",
"first_name": "RORY",
"middle_name": "LYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN169563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RORY",
"last_name": "LEMOINE",
"middle_name": "LYN",
"credential": "NP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.