Laura Degler Elledge, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN138324 Issued in GA

Practice address

3200 Downwood Cir NW Ste 550
Atlanta, GA 30327-1624

Phone

(404) 351-0205

Fax

(404) 351-4187

NPI assigned

Mar 4, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053771915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271624",
            "telephone_number": "404-351-0205",
            "fax_number": "404-351-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271624",
            "telephone_number": "404-351-0205",
            "fax_number": "404-351-4187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Johnson Ferry Rd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421631",
            "country_code": "US",
            "telephone_number": "404-300-2990",
            "fax_number": "404-300-2986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLEDGE",
        "first_name": "LAURA",
        "middle_name": "DEGLER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN138324",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN138324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003180783A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003180783C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bassem Elkhayat, L.S.A.
• Chase Anthony Elkin, MD
• Karen Vo Elkins, OT002516
• David Elkon, MD
• Martha L Elks, MD
• Ellen M Benson LLC
• Mark I Ellen, M.D.
• Christina Ellenberg, RD, LDN, CSCS
• Abraham Ellenbogen
• Daniel P Eller, M.D.

• Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.