Individual provider Active NPI

Laneisha Ann Dawkins, APRN, NP-C

  • Family Nurse Practitioner
  • Lagrange, GA
National Provider Identifier
1922171503
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN162457 Issued in GA
Practice address
1075 Lafayette Pkwy Ste 100
Lagrange, GA 30241-3507
Phone
(706) 443-5273
Fax
(762) 323-1014
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN162457 GA
Family Nurse Practitioner 363LF0000X RN162457 GA Primary

Addresses

Primary practice location

1075 Lafayette Pkwy Ste 100
Lagrange, GA 30241-3507

Mailing address

1075 Lafayette Pkwy Ste 100
Lagrange, GA 30241-3507
Phone (706) 443-5273

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
I20120711000186 GA Practitioner - Nurse Practitioner 0547425860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

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

State licenses

LicenseStateTypeSpecialty
RN162457GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Diagnostic and Interventional Pain PC CurrentSince Jun 1, 2022 Accepting new patients
Rehabilitation Physicians of Georgia, P.C. CurrentSince Feb 4, 2024 Accepting new patients

Locations

2450 Atlanta Hwy
Ste 904
Cumming, GA 30040
Phone 4046595909221

1075 Lafayette Pkwy
Ste 100
Lagrange, GA 30241
Phone (706) 443-5273

2675 Main St W
Snellville, GA 30078
Phone (404) 493-4381

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1922171503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 LAFAYETTE PKWY STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413507",
            "telephone_number": "706-443-5273",
            "fax_number": "762-323-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LAFAYETTE PKWY STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413507",
            "telephone_number": "706-443-5273",
            "fax_number": "762-323-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "LANEISHA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN162457",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN162457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.