Individual provider Active NPI

Lashandra Nichole Rease, NP

  • Nurse Practitioner
  • East Point, GA
National Provider Identifier
1902156607
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN171259 Issued in GA
Practice address
1170 Cleveland Ave
East Point, GA 30344-3615
Phone
(404) 466-1600
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN171259 GA Primary

Addresses

Primary practice location

1170 Cleveland Ave
East Point, GA 30344-3615

Mailing address

5665 New Northside Dr NW
Suite 320
Atlanta, GA 30328-5831
Phone (770) 874-5468

Other practice location 1

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

Other names 1

  • Lashandra Mobley Former name

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
I20121120000226 GA Practitioner - Nurse Practitioner 4981855079 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

2130 W Spring St
Suite 300
Monroe, GA 30655-3195
Phone (678) 905-9121

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN171259GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Emergency Group, LLC CurrentSince Sep 15, 2014 Accepting new patients
Northside Emergency Associates, LLC Nurse Practitioner CurrentSince Oct 1, 2014 Accepting new patients
Walker Lake Emergency Group, PC Nurse Practitioner CurrentSince Apr 5, 2019 Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Feb 1, 2024 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Oct 23, 2024 Accepting new patients
Wellstreet of Georgia PC CurrentSince Mar 4, 2020 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients
Mount Lassen Emergency Physicians LLC Past Accepting new patients
Lavender Inpatient Services LLC Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Nurse Practitioner Past Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

590 Lanier Ave W
Fayetteville, GA 30214

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

101 Regency Park Dr
Ste 110
McDonough, GA 30253
Phone (404) 996-0123

2130 W Spring St
Ste 300
Monroe, GA 30655
Phone (678) 905-9121

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

921 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (770) 506-3386

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1902156607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR NW",
            "address_2": "SUITE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "770-874-5468",
            "fax_number": "770-874-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443615",
            "telephone_number": "404-466-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Milstead Ave NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123877",
            "country_code": "US",
            "telephone_number": "770-918-3000",
            "fax_number": "770-918-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REASE",
        "first_name": "LASHANDRA",
        "middle_name": "NICHOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN171259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LASHANDRA",
            "last_name": "MOBLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.