Active NPI
Lighthouse Psych Consulting
- Family Nurse Practitioner
- Smyrna, GA
National Provider Identifier
1922237270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN166395-NP
- Legal business name
- LIGHTHOUSE PSYCH CONSULTING
- Practice address
- 1601 Wehunt PL SE
Smyrna, GA 30082-4845 - Phone
- (678) 761-4106
- NPI assigned
- Jul 8, 2009
- Last updated
- Jul 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Andrew Thornton, APRN-BC
- Title
- Nurse Practitioner
- Phone
- (678) 761-4106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN166395-NP | GA | Primary |
Addresses
Primary practice location
1601 Wehunt PL SE
Smyrna, GA 30082-4845
Mailing address
1601 Wehunt PL SE
Smyrna, GA 30082-4845
Phone (678) 761-4106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269139867B | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Norcross, GA
- NPI 1093886608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247011200000",
"number": "1922237270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WEHUNT PL SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300824845",
"telephone_number": "678-761-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WEHUNT PL SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300824845",
"telephone_number": "678-761-4106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE PSYCH CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-08",
"last_updated": "2009-07-08",
"status": "A",
"authorized_official_last_name": "THORNTON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "678-761-4106",
"authorized_official_credential": "APRN-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN166395-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269139867B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.