Active NPI
Lakisha Jones Kerr
- Family Nurse Practitioner
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN177718
- Practice address
- 1000 Medical Center Blvd
Lawrenceville, GA 30046-7694 - Phone
- (678) 312-1000
- NPI assigned
- Aug 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN177718 | GA | Primary |
| Advanced Practice Midwife | 367A00000X | RN177718 | GA |
Addresses
Primary practice location
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Mailing address
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120912000590 | GA | Practitioner - Nurse Practitioner | 0840448007 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Georgia Emergency Department Services, P.C.
Practice addresses (Care Compare)
316 N Broad St
Winder, GA 30680-2150
Phone (770) 867-3400
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.02 of 100
- Quality
- 91.38
- Improvement activities
- 40
- Cost
- 79.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians - Southeast PC | Current | Accepting new patients | |
| Gwinnett Emergency Specialists Observation Services, LLC | Current | Accepting new patients | |
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Georgia Emergency Department Services, P.C. | Current | Accepting new patients | |
| Gwinnett Emergency Specialists, LLC | Past | Accepting new patients |
Locations
100 Wheatley Dr
Americus, GA 31709
Phone (229) 924-6011
101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
316 N Broad St
Winder, GA 30680
Phone (770) 307-5354
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Gainesville, GA
- NPI 1508886912
GA
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1720373129
GA
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1437346467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1932456563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467694",
"telephone_number": "678-312-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "LAKISHA",
"middle_name": "JONES",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN177718",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN177718",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.