Active NPI
Della Lertpenmaeta, CNP
- Nurse Practitioner
- Powder Springs, GA
National Provider Identifier
1912997206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN093485
- Practice address
- 4250 Brownsville Rd
Powder Springs, GA 30127-2559 - Phone
- (678) 567-8000
- Fax
- (770) 439-3555
- NPI assigned
- Oct 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN093485 | GA | Primary |
Addresses
Primary practice location
4250 Brownsville Rd
Powder Springs, GA 30127-2559
Mailing address
4250 Brownsville Rd
Powder Springs, GA 30127-2559
Phone (770) 920-2280
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
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas County Family Practice, P.C. | Past | Accepting new patients | |
| Wellstar Medical Group, LLC | Past | Accepting new patients | |
| Douglas County Family Practice, P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Mariam George, M.D.
- Primary Care Clinic/Center
- Douglasville, GA
- NPI 1013918671
-
- Family Medicine Physician
- Douglasville, GA
- NPI 1083769376
-
dba WellStar Powder Springs Medical Center
- Family Medicine Physician
- Powder Springs, GA
- NPI 1093011603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388102400000",
"number": "1912997206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 BROWNSVILLE RD",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301272559",
"telephone_number": "770-920-2280",
"fax_number": "770-439-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 BROWNSVILLE RD",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301272559",
"telephone_number": "678-567-8000",
"fax_number": "770-439-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERTPENMAETA",
"first_name": "DELLA",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2013-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN093485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powder Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.