Active NPI
Juanita Yvonne Lott, MD
- Family Medicine Physician
- Brunswick, GA
National Provider Identifier
1891804787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 019847
- Practice address
- 418 Eh Court
Brunswick, GA 31520 - Phone
- (912) 265-5035
- Fax
- (912) 265-1431
- NPI assigned
- Aug 30, 2006
- Last updated
- Mar 7, 2023
- 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 Medicine Physician | 207Q00000X | 019847 | GA | Primary |
Addresses
Primary practice location
418 Eh Court
Brunswick, GA 31520
Mailing address
3421 Trout St
Brunswick, GA 31520
Phone (912) 264-3095
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00181596A | Medicaid | GA | |
| 85001571G | Other | GBHC | |
| 019847 | Other | STATE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1891804787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 TROUT ST",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "31520",
"telephone_number": "912-264-3095",
"fax_number": "912-265-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 EH COURT",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "31520",
"telephone_number": "912-265-5035",
"fax_number": "912-265-1431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "JUANITA",
"middle_name": "YVONNE",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "019847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00181596A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GBHC",
"identifier": "85001571G",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "019847",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.