Individual provider Active NPI

Laura Miess

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1194833095
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN150783 NP Issued in GA
Practice address
2320 Hamilton Rd
Columbus, GA 31904-8534
Phone
(706) 507-5441
NPI assigned
Aug 29, 2006
Last updated
Jan 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN150783 NP GA Primary

Addresses

Primary practice location

2320 Hamilton Rd
Columbus, GA 31904-8534

Mailing address

PO Box 2585
Columbus, GA 31902-2585
Phone (706) 507-5441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000342 GA Practitioner - Nurse Practitioner 0547334583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sai Nursing Home Services, LLCGroup PAC ID 5890036214, 3 clinicians

Practice addresses (Care Compare)

5363 Veterans Pkwy
Columbus, GA 31904-4423
Phone (706) 507-5441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN150783 NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shamil PC CurrentSince Apr 14, 2008 Accepting new patients
Sai Nursing Home Services, LLC CurrentSince Jan 1, 2019 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Past Accepting new patients

Locations

2010 Warm Springs Rd
Columbus, GA 31904
Phone (706) 324-0387

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2320 Hamilton Rd
Columbus, GA 31904
Phone (706) 324-0297

5363 Veterans Pkwy
Columbus, GA 31904
Phone (706) 507-5441

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

7150 Manor Rd
Columbus, GA 31907
Phone (706) 561-3218

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327708800000",
    "number": "1194833095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2585",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319022585",
            "telephone_number": "706-507-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HAMILTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048534",
            "telephone_number": "706-507-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESS",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN150783  NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.