ANDREA ELAINE RICKETTS NP
NPI 1275972978
Nurse Practitioner - Family in Lawrenceville, GA

Q: What is Andrea Ricketts's NPI number?

The NPI number for Andrea Ricketts is 1275972978. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Q: What is Andrea Ricketts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Ricketts was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2013PECOS Enrolled

2000 RIVERSIDE PKWY STE 107, LAWRENCEVILLE, GA 30043(404) 405-2321(678) 623-0904 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrea Elaine Ricketts Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA ELAINE RICKETTS NP (NPI 1275972978) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (119715) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275972978

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDREA ELAINE RICKETTSCredential: NP

Location Address2000 RIVERSIDE PKWY STE 107Lawrenceville, GA 30043-5926

Mailing Address2000 Riverside Pkwy Ste 107Lawrenceville, GA 30043-5926 · (404) 405-2321 · Fax (770) 698-9775

Phone(404) 405-2321

Fax(678) 623-0904

Sole ProprietorNo

Enumeration DateJune 17, 2013

Last NPPES UpdateOctober 31, 2019

✔ NPI 1275972978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · 119715

2000 RIVERSIDE PKWY STE 107, Lawrenceville, GA 30043

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Elaine Ricketts Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SB HEALTHCARE, LLC

Internal Medicine (Hospice and Palliative Medicine)