Lyna Ashu
Individual provider Active NPI Family Nurse Practitioner · Dacula, GA
NPI 1932500600 · NPPES record last updated Mar 15, 2025
Key facts
- NPI
- 1932500600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN198848 (GA)
- Practice address
- 505 Dacula Rd
Dacula, GA 30019-2125 - Phone
- (678) 407-8750
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Professional Services LLC
Piedmont Medical Care Corporation
Practice addresses (Care Compare)
2990 Five Forks Trickum Rd
Lawrenceville, GA 30044-5872
Phone (678) 732-1517
35 Collier Rd NW
Suite 775
Atlanta, GA 30309-1608
Phone (404) 350-1122
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150224000341 | GA | Practitioner - Nurse Practitioner | 2961728688 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN198848 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC of Georgia LLC | Family | Current |
Accepting new patients |
| Piedmont Professional Services, LLC | Current |
Accepting new patients | |
| Piedmont Medical Care Corporation | Past | Accepting new patients |
Locations
35 Collier Rd NW
Ste 775
Atlanta, GA 30309
Phone (404) 350-1122
505 Dacula Rd
Dacula, GA 30019
Phone (678) 407-8740
455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
2990 Five Forks Trickum Rd
Lawrenceville, GA 30044
Phone (678) 732-1517
3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170
2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211
Interoperability endpoints
- lyna.ashu@krogerhealth.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN198848 | GA | Yes |
Addresses
Primary practice location
505 Dacula Rd
Dacula, GA 30019-2125
Mailing address
PO Box 932958
Cleveland, OH 44193-0028
Other providers in Dacula, GA
- Rami Badr Arfoosh
- Leona Beth Arnold
- Amaka Gloria Asaije
- Jade Asante-Selby
- Jordan Ashford
- Ana C Asis
- Atlanta Wound Care Specialist, LLC
- Atlanta'S Elite Home Care LLC
- Attending to Your Home Care
- Deborah L. Augst
All providers in Dacula, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.