Individual provider Active NPI

Lauren Brooke Grant, NP

  • Nurse Practitioner
  • Hinesville, GA
National Provider Identifier
1922688696
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277780 Issued in GA
Practice address
462 Elma G Miles Pkwy Ste 102a
Hinesville, GA 31313-4000
Phone
(912) 369-9310
Fax
(912) 877-3102
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 277780 GA Primary

Addresses

Primary practice location

462 Elma G Miles Pkwy Ste 102a
Hinesville, GA 31313-4000

Mailing address

276 Oak Dr
Jesup, GA 31545-7649

Other practice location 1

100 S Madison St
Thomasville, GA 31792-5473
Phone (229) 236-0831

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
I20210517002043 GA Practitioner - Nurse Practitioner 4486063716 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277780GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Jun 1, 2021 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Current Accepting new patients
SGMP Southland LLC CurrentSince Apr 1, 2021 Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Jun 1, 2023 Accepting new patients
Choice Family Medicine, PC Current Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince Apr 11, 2021 Accepting new patients
Wills Memorial Emergency Medical Services, LLC Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

462 Elma G Miles Pkwy
Ste 102A
Hinesville, GA 31313
Phone (912) 369-9310

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

410 Darling Ave
Waycross, GA 31501
Phone (912) 283-3030

Organizations & group practices 7

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": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1922688696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 OAK DR",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315457649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 ELMA G MILES PKWY STE 102A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134000",
            "telephone_number": "912-369-9310",
            "fax_number": "912-877-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317925473",
            "country_code": "US",
            "telephone_number": "229-236-0831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "LAUREN",
        "middle_name": "BROOKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "277780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.