Active NPI
Laura Rachel Bishop, PA-C
- Physician Assistant
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3408 Trout St
Brunswick, GA 31520-3622 - Phone
- (912) 466-9111
- Fax
- (912) 466-0366
- NPI assigned
- Feb 26, 2009
- Last updated
- Apr 20, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Medical Physician Assistant | 363AM0700X | 005443 | GA |
Addresses
Primary practice location
3408 Trout St
Brunswick, GA 31520-3622
Mailing address
5191 First Coast Tech Pkwy FL 3
Jacksonville, FL 32224-0609
Phone (904) 223-3321
Other practice location 1
1507 Alice St
Waycross, GA 31501-4530
Phone (912) 590-0973
Other names 1
- Laura Rachel Jones
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical College of Georgia School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1218 Alice St
Waycross, GA 31501-4525
Phone (912) 590-0973
3408 Trout St
Brunswick, GA 31520-3622
Phone (912) 590-0973
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.8 of 100
- Quality
- 77.71
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 65.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Pain Medicine, LLC | Current | Accepting new patients | |
| Consultants in Pain Medicine, LLC | Current | Accepting new patients | |
| Jacksonville Spine Center PA | Past | Accepting new patients |
Locations
10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118
5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332
3408 Trout St
Brunswick, GA 31520
Phone (912) 267-9000
200 Blue Moon Xing
Ste 203
Pooler, GA 31322
Phone (877) 577-2570
1218 Alice St
Waycross, GA 31501
Phone (912) 264-9029
1507 Alice St
Waycross, GA 31501
Phone (912) 283-7220
Interoperability endpoints
- laura.bishop@jspc.eclinicaldirectplus.com
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.
-
dba Centurion Spine & Pain Centers
- Interventional Pain Medicine Physician
- Brunswick, GA
- NPI 1902852130
-
dba Centurion Spine & Pain Centers
- Interventional Pain Medicine Physician
- Savannah, GA
- NPI 1942052022
-
dba Jax Spine & Pain Centers
- Pain Medicine (Anesthesiology) Physician
- Jacksonville, FL
- NPI 1881643757
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Georgia Health System - Camden Campus
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
-
dba Southeast Georgia Health System - Brunswick Campus
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1215177522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5191 FIRST COAST TECH PKWY FL 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322240609",
"telephone_number": "904-223-3321",
"fax_number": "904-223-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 TROUT ST",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315203622",
"telephone_number": "912-466-9111",
"fax_number": "912-466-0366"
}
],
"practiceLocations": [
{
"address_1": "1507 Alice St",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315014530",
"country_code": "US",
"telephone_number": "912-590-0973",
"fax_number": "912-590-0180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISHOP",
"first_name": "LAURA",
"middle_name": "RACHEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "005443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "JONES",
"middle_name": "RACHEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.