LAUREN KEITH INGRAM (N.P.) – Nurse Practitioner, NPI 1457729899

LAUREN KEITH INGRAM (N.P.) is a healthcare provider. based in Gainesville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. RN209074 (GA). The NPI Number for LAUREN KEITH INGRAM (N.P.) is 1457729899

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN KEITH INGRAM (N.P.)
NPI
1457729899
Phone
(770) 534-0534
Address
100 COLLEGE AVE SE
Enumeration Date
2 September 2015
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6789715005
Graduation Year
2015 (11 years ago)
PAC ID
5991005472
Group Practice PAC ID
6406137694
Professional Enrollment ID
I20151207000746
Address ID
GA305014510GA100XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for LAUREN KEITH INGRAM (N.P.)

  • 100 COLLEGE AVE SE

    GAINESVILLE, GA 305014510

    Phone: (770) 534-0534

    Fax: (770) 532-4049

    Type: Mailing

  • 520 JESSE JEWELL PKWY SE

    GAINESVILLE, GA 305013779

    Phone: (770) 534-0534

    Fax: (770) 532-4049

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 179 Open Payments records for all available years, with a total value of $4,515.

Total Amount is formed as General ($4,515) + Research ($0) + Ownership ($0) = $4,515.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,215).

Total Amount

$4,515

General + Research + Ownership

Payments

179

Total payment records

General Amount

$4,515

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151207000746INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406137694View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
A L L E R G Y/ I M M U N O L O G YGA

Reviews

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Frequently asked questions

What unique ID ties claims to LAUREN KEITH INGRAM (N.P.)?
NPI 1457729899 is assigned to LAUREN KEITH INGRAM (N.P.) under the national enumeration system.
Does this profile mean LAUREN KEITH INGRAM (N.P.) is currently active?
Yes — LAUREN KEITH INGRAM (N.P.) appears active in the national provider directory.
What field does LAUREN KEITH INGRAM (N.P.) work in?
You can think of LAUREN KEITH INGRAM (N.P.) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does LAUREN KEITH INGRAM (N.P.) practice in Georgia?
You will see Gainesville, Georgia on file for LAUREN KEITH INGRAM (N.P.) alongside any extra practice locations.
Is LAUREN KEITH INGRAM (N.P.) a real provider?
This page reflects official NPPES data for NPI 1457729899. Always confirm identity and privileges with the practice and licensing boards.

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