Healthcare Provider Details

I. General information

NPI: 1982060166
Provider Name (Legal Business Name): MICHELLE M LAMM AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICHELLE M. GERARDOT

II. Dates (important events)

Enumeration Date: 01/04/2016
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 COMMERCE DR STE 108
GREENSBORO GA
30642-7444
US

IV. Provider business mailing address

PO BOX 48089
ATHENS GA
30604-8089
US

V. Phone/Fax

Practice location:
  • Phone: 706-389-3440
  • Fax: 706-353-2205
Mailing address:
  • Phone: 706-389-3740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN253543
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN253543
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: