Active NPI
Laura B Kaiser, PA-C
- Physician Assistant
- Port Royal, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2290
- Practice address
- Beaufort Memorial Surgical Specialists
1680 Ribaut Rd
Port Royal, SC 29935-2008 - Phone
- (843) 524-8171
- Fax
- (844) 296-2307
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2290 | SC | Primary |
Addresses
Primary practice location
Beaufort Memorial Surgical Specialists
1680 Ribaut Rd
Port Royal, SC 29935-2008
Mailing address
955 Ribaut Rd
Bmac Credentialing
Beaufort, SC 29902-5441
Phone (843) 522-5674
Other practice location 1
811 Reynolds Rd
Barnwell, SC 29812-1573
Phone (803) 259-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2290 | Other | SC | STATE LICENSE BOARD |
| 3783PA | Medicaid | SC |
Other names 1
- Ms. Laura Livergood
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-3344
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5983
989 Ribaut Rd
Beaufort, SC 29902-5472
989 Ribaut Rd
Beaufort, SC 29902-5481
Hospital & facility affiliations
- Medical Services of America Home Health
- Amedisys Home Health of Charleston East
- Beaufort County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.95 of 100
- Quality
- 83.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2290 | SC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients | |
| SC Healthcare Investments, LLC | Past | Accepting new patients |
Locations
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
989 Ribaut Rd
Ste 360
Beaufort, SC 29902
Phone (843) 522-5900
122 Okatie Center Blvd N
Ste 300
Okatie, SC 29909
Phone (843) 707-8040
1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600
Interoperability endpoints
- laura.kaiser.2@16436.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Beaufort, SC
- NPI 1598713117
-
- Specialist
- Varnville, SC
- NPI 1366676769
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Certified Registered Nurse Anesthetist
- Beaufort, SC
- NPI 1467423178
-
- General Acute Care Hospital
- Barnwell, SC
- NPI 1558760256
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Charleston, SC
- NPI 1447218748
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
- Home Health Agency
- Irmo, SC
- NPI 1689626608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1033503537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 RIBAUT RD",
"address_2": "BMAC CREDENTIALING",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025441",
"telephone_number": "843-522-5674",
"fax_number": "843-522-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEAUFORT MEMORIAL SURGICAL SPECIALISTS",
"address_2": "1680 RIBAUT RD",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299352008",
"telephone_number": "843-524-8171",
"fax_number": "844-296-2307"
}
],
"practiceLocations": [
{
"address_1": "811 Reynolds Rd",
"address_purpose": "LOCATION",
"city": "Barnwell",
"state": "SC",
"postal_code": "298121573",
"country_code": "US",
"telephone_number": "803-259-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAISER",
"first_name": "LAURA",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE BOARD",
"identifier": "PA2290",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3783PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "LIVERGOOD",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Royal, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.