Active NPI
Laqueta Nelson, FNP
- Family Medicine Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RN145567
- Practice address
- 3970 Deputy Bill Cantrell Memorial Rd
Cumming, GA 30040 - Phone
- (678) 513-2273
- NPI assigned
- Oct 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RN145567 | GA | Primary |
Addresses
Primary practice location
3970 Deputy Bill Cantrell Memorial Rd
Cumming, GA 30040
Mailing address
2400 Herodian Way SE Ste 220
Smyrna, GA 30080-8500
Phone (770) 383-1415
Other practice location 1
232 Woodcreek Way
Acworth, GA 30101-2013
Phone (678) 793-4588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN145567 | Other | GA | FNP LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lnelson.fnp@ruinteractive.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2400 Herodian Way SE
Suite 220
Smyrna, GA 30080-8500
Phone (770) 383-1415
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 90.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodlife Cardiac Care, LLC | Current | Accepting new patients | |
| Anemonefish Inpatient Services LLC | Current | Accepting new patients |
Locations
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
2400 Herodian Way SE
Ste 220
Smyrna, GA 30080
Phone (678) 346-0808
Interoperability endpoints
- lnelson.fnp@ruinteractive.com
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Smyrna, GA
- NPI 1104536853
-
- Internal Medicine Physician
- Covington, GA
- NPI 1033514716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1982247433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 HERODIAN WAY SE STE 220",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300808500",
"telephone_number": "770-383-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 DEPUTY BILL CANTRELL MEMORIAL RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "30040",
"telephone_number": "678-513-2273"
}
],
"practiceLocations": [
{
"address_1": "232 Woodcreek Way",
"address_purpose": "LOCATION",
"city": "Acworth",
"state": "GA",
"postal_code": "301012013",
"country_code": "US",
"telephone_number": "678-793-4588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "LAQUETA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "RN145567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP LICENSE",
"identifier": "RN145567",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Lnelson.fnp@ruinteractive.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "232 Woodcreek Way",
"city": "Acworth",
"state": "GA",
"country_code": "US",
"postal_code": "301012013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.