Individual provider Active NPI

Lester Philip Trapp, NP

  • Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1932386182
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN119757 Issued in GA
Practice address
400 Tower Rd NE
Suite 350
Marietta, GA 30060-9415
Phone
(770) 590-1078
Fax
(770) 422-7306
NPI assigned
Jan 29, 2008
Last updated
Jan 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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 RN119757 GA Primary

Addresses

Primary practice location

400 Tower Rd NE
Suite 350
Marietta, GA 30060-9415

Mailing address

400 Tower Rd NE
Suite 350
Marietta, GA 30060-9415
Phone (770) 590-1078

Other identifiers 4

IdentifierTypeStateIssuer
266427303FMedicaidGA
266427303CMedicaidGA
266427303EMedicaidGA
266427303DMedicaidGA

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
I20040423001026 GA Practitioner - Nurse Practitioner 9739175712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1388 Wellbrook Necir a
Conyers, GA 30012-3872
Phone (770) 929-9033

15 Medical Dr NE
Cartersville, GA 30121-8005
Phone (770) 929-9033

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
74.46
Promoting interoperability
99
Improvement activities
40
Cost
71.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Interventional Spine and Pain Management Center PC CurrentSince Jul 1, 2016 Accepting new patients
The Interventional Spine and Pain Management Center, PC CurrentSince Jul 1, 2016 Accepting new patients
CPM Labs, LLC Current Accepting new patients
The Interventional Spine and Pain Management Center PC Past Accepting new patients
Cobb Anesthesia, PC Past Accepting new patients

Locations

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 732-3649

15 Medical Dr NE
Ste 301
Cartersville, GA 30121
Phone (770) 590-1078

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

400 Tower Rd NE
Ste 350
Marietta, GA 30060
Phone (770) 590-1078

Interoperability endpoints

  • Direct secure messaging: lester.trapp@ispm.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1932386182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TOWER RD NE",
            "address_2": "SUITE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609415",
            "telephone_number": "770-590-1078",
            "fax_number": "770-422-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWER RD NE",
            "address_2": "SUITE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609415",
            "telephone_number": "770-590-1078",
            "fax_number": "770-422-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAPP",
        "first_name": "LESTER",
        "middle_name": "PHILIP",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN119757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266427303F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266427303C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266427303E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266427303D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.