Individual provider Active NPI

Lori Ann Levine, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1902214836
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN225854 Issued in GA
Practice address
1015 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-6653
Phone
(404) 523-6571
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN225854 GA Primary

Addresses

Primary practice location

1015 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-6653

Mailing address

634 Brownwood Ave SE
Atlanta, GA 30316-3804
Phone (706) 718-2184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150114001758 GA Practitioner - Nurse Practitioner 8527382811 Reassigns benefits to 1 organization
I20260319003674 GA Practitioner - Family Practice 8527382811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Rogers St NE
Suite 1a
Atlanta, GA 30317-1094

634 Brownwood Ave SE
Atlanta, GA 30316-3804

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN225854GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Wellness and Medspa LLC CurrentSince Mar 4, 2026 Accepting new patients
Community Care Health Network LLC CurrentSince Dec 1, 2025 Accepting new patients
The Good Samaritan Health Center, Inc. PastSince Apr 2, 2016 Accepting new patients
Emory Specialty Associates, LLC Past Accepting new patients
Hope First Investments PastSince Sep 20, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

Interoperability endpoints

  • Direct secure messaging: lori.levine.1@6806.direct.athenahealth.com

Organizations & group practices 5

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1902214836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 BROWNWOOD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163804",
            "telephone_number": "706-718-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 DONALD LEE HOLLOWELL PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303186653",
            "telephone_number": "404-523-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN225854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.