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Adrienne Zackery , CEO, NURSE

Licensed Practical Nurse β€’ Morrow, GA

Active NPI 1407508344 Individual Practitioner Female Practitioner
Practice location in NPPES

1115 Mount Zion Rd Ste 10
Morrow, GA 302602241

Call 7709172570 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1115 Mount Zion Rd Ste 10

Morrow, GA 302602241

Telephone 7709172570
Organization at the Same NPPES Address or Phone
Purposeful Health & Lab Solutions, Llc Facility NPI 1437802188

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Morrow and Georgia

3 active clinicians are listed under Licensed Practical Nurse with a practice address in Morrow, GA (1,343 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-04-14
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES GA LPN071269

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location May 23, 2022

Registered at 1115 MOUNT ZION RD STE 10, MORROW, GA 302602241 (Tel: 7709172570)

πŸ“
Updated Business Mailing Address May 23, 2022

Registered at 1115 MOUNT ZION RD STE 10, MORROW, GA 302602241 (Tel: 7709172570)

πŸ‘€
Provider Name / Credentials Updated May 23, 2022

Recorded as ADRIENNE ZACKERY, CEO, NURSE

βœ…
NPI Profile Active January 21, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 21, 2022

Registered at 329 DERBY DR, RIVERDALE, GA 302746721 (Tel: 6784806298)

πŸ“
Business Mailing Address (Initial Record) January 21, 2022

Registered at 329 DERBY DR, RIVERDALE, GA 302746721 (Tel: 6784806298)

πŸ‘€
Provider Name / Credentials (Initial Record) January 21, 2022

Recorded as ADRIENNE ZACKERY, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2022

Licensed Practical Nurse (license number reported to NPPES: GA LPN071269)

🟒
Initial NPI Registration & Enumeration January 21, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407508344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2022
Last Update: May 23, 2022
Sole Proprietor: No

Mailing Address

1115 Mount Zion Rd Ste 10

Morrow, GA 302602241

Phone: 7709172570

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.