Healthcare Provider Details

I. General information

NPI: 1689597866
Provider Name (Legal Business Name): KRISTY LOCKHART CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3480 PRESTON RIDGE RD STE 100
ALPHARETTA GA
30005-2054
US

IV. Provider business mailing address

3480 PRESTON RIDGE RD STE 100
ALPHARETTA GA
30005-2054
US

V. Phone/Fax

Practice location:
  • Phone: 770-664-4430
  • Fax: 770-664-7836
Mailing address:
  • Phone: 770-664-4430
  • Fax: 770-664-7836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberNP311354
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: