Laura D Gwillim

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2704 C N Oak St
Valdosta, GA 31602-1781

Phone

(229) 245-0646

Fax

(229) 245-8946

NPI assigned

Nov 16, 2006

Last updated

May 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1993

Medicare assignment

May accept Medicare assignment

Group practices

Care Medical Center LLCGroup PAC ID 6406807015, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Care Medical Center LLC

  • Exclusive Provider Organization
  • Valdosta, GA
  • NPI 1063521250
  Medicare reassignment Care Compare group NPD
• Care Medical Center LLC

  • Chiropractor
  • Waycross, GA
  • NPI 1376236232
  NPD
• Therapy Associates LLC

  • Physical Therapist
  • Lenexa, KS
  • NPI 1992878508
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620518400000",
    "number": "1194898288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 WILLIAMS ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022924",
            "telephone_number": "229-251-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 C N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021781",
            "telephone_number": "229-245-0646",
            "fax_number": "229-245-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWILLIM",
        "first_name": "LAURA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan C Gunnell, M.S. LMFT
• Anil Kumar Gupta, M.D.
• Arvind Gupta, MD
• Kellie Lynn Guthrie, M.ED., CFY-SLP
• Jana Lacie Guy, D.C.
• Barbara Hacker, CCC/SLP
• Brian Keith Hackett
• Shonjuanaka Shonta Hails-Chapman
• Jessica Mink Haines, LMT
• Don E Hairston, LCSW

• Physical Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.