Individual provider Active NPI

Vanessa L Lott, FNP

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1922563287
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F06180915 Issued in GA
Practice address
275 Sheraton Blvd
Macon, GA 31210-1359
Phone
(478) 745-5779
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F06180915 GA Primary

Addresses

Primary practice location

275 Sheraton Blvd
Macon, GA 31210-1359

Mailing address

275 Sheraton Blvd
Macon, GA 31210-1359
Phone (478) 745-5779

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
I20200629001325 GA Practitioner - Nurse Practitioner 3577985167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as group
Quality
86.99
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06180915GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Practitioners, LLC CurrentSince Apr 27, 2020 Accepting new patients

Locations

910 N 5th St
Ste E
Cordele, GA 31015
Phone (478) 745-5779

275 Sheraton Blvd
Macon, GA 31210
Phone (478) 474-7014

275 Sheraton Blvd
Ste 100
Macon, GA 31210
Phone (478) 745-5779

1715 Watson Blvd
Warner Robins, GA 31093
Phone (478) 742-0904

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CACGAA

Organizations & group practices 1

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": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1922563287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SHERATON BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101359",
            "telephone_number": "478-745-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SHERATON BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101359",
            "telephone_number": "478-745-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "VANESSA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "F06180915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.