Individual provider Active NPI

Dora Jean-Louis, FNP

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1902298086
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN176693 Issued in GA
Practice address
766 Walther Rd Ste 100
Lawrenceville, GA 30046-8765
Phone
(770) 736-6300
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN176693 GA
Family Nurse Practitioner 363LF0000X RN176693 GA Primary

Addresses

Primary practice location

766 Walther Rd Ste 100
Lawrenceville, GA 30046-8765

Mailing address

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 979-0200

Other practice location 1

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 979-0200

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
I20160915001303 GA Practitioner - Nurse Practitioner 8325334451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Ten Med LLCGroup PAC ID 6406101005, 5 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

5673 Peachtree Dunwoody
Suite 320
Atlanta, GA 30342-1805
Phone (404) 855-5660

Hospital & facility affiliations

  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Jan 7, 2026 Accepting new patients
Ten Med LLC CurrentSince Apr 1, 2023 Accepting new patients
Revive Spine and Pain Care Center, PC CurrentSince Oct 13, 2025 Accepting new patients
Wellstreet of Georgia PC CurrentSince Jun 28, 2023 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1835 Savoy Dr
Ste 200
Atlanta, GA 30341
Phone (404) 855-5660

2575 Peachtree Pkwy
Ste 250
Cumming, GA 30041
Phone (404) 251-1880

10160 Medlock Bridge Rd
Ste 100
Johns Creek, GA 30097
Phone (404) 596-1695

3330 Sugarloaf Pkwy
Ste A
Lawrenceville, GA 30044
Phone (404) 480-9797

696 Highway 20 S
Lawrenceville, GA 30046
Phone (770) 963-0927

5673 Peachtree Dunwoody Rd
Ste 320
Sandy Springs, GA 30342
Phone (404) 855-5660

3641 Centerville Hwy
Snellville, GA 30039
Phone (770) 752-4141

2295 Ronald Reagan Pkwy
Ste 300
Snellville, GA 30078
Phone (678) 907-3242

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

Interoperability endpoints

  • Direct secure messaging: tenmedllc.dorajeanlouis@159903.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/27445/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dora.jean-louis.1@27445.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1902298086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782195",
            "telephone_number": "770-979-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 WALTHER RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468765",
            "telephone_number": "770-736-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Medical Way",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300782195",
            "country_code": "US",
            "telephone_number": "770-979-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN-LOUIS",
        "first_name": "DORA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "GA",
            "license": "RN176693",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN176693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.