| Mrs Lori W Grogan, NP | |
|
123 N 18th St, Griffin, GA 30223-2264 | |
| (770) 229-1437 | |
| Not Available |
| Full Name | Mrs Lori W Grogan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 123 N 18th St, Griffin, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790290583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | RN183551 (Georgia) | Primary |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Entity Name | Eternal Hope Hospice |
|---|---|
| Entity Type | Part B Supplier - Other Medical Care Group |
| Entity Identifiers | NPI Number: 1861630543 PECOS PAC ID: 3577603539 Enrollment ID: O20180702002047 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lori W Grogan, NP 123 N 18th St, Griffin, GA 30223-2264 Ph: (770) 229-1437 | Mrs Lori W Grogan, NP 123 N 18th St, Griffin, GA 30223-2264 Ph: (770) 229-1437 |
Angela Parker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 625 Carver Rd, Griffin, GA 30224 Phone: 770-227-9222 | |
Kaley Prather, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 619 S 8th St Suite 200, Griffin, GA 30224 Phone: 770-227-1587 Fax: 770-227-1485 | |
Deborah Prather, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 N Expressway, Griffin, GA 30223 Phone: 943-202-7790 Fax: 470-986-7152 | |
Dominique L Bailey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604a S 8th St, Griffin, GA 30224 Phone: 770-227-1999 | |
Alicia Skye Ledford, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 619 S 8th St., Suite 200, Griffin, GA 30224 Phone: 770-227-1587 | |
Minh Ngoc Ly Barnett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 S 8th St, Griffin, GA 30224 Phone: 770-228-2721 | |
Ms. Stephanie Collier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 Carver Rd, Griffin, GA 30224 Phone: 770-227-9222 Fax: 678-688-3891 |