Individual provider Active NPI

Alison A. Lauber, MD

  • Family Medicine Physician
  • Newnan, GA
National Provider Identifier
1245320977
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
022812 Issued in GA
Practice address
770 Grieson Trail
Ste H
Newnan, GA 30263-6408
Phone
(770) 252-5420
Fax
(770) 252-5417
NPI assigned
Oct 13, 2006
Last updated
Jul 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 022812 GA Primary

Addresses

Primary practice location

770 Grieson Trail
Ste H
Newnan, GA 30263-6408

Mailing address

8390 Champions Gate Blvd
Ste 215
Champions Gate, FL 33896-8310
Phone (321) 401-1364

Other identifiers 2

IdentifierTypeStateIssuer
G22812MedicaidSC
000425752XMedicaidGA

Other names 1

  • Ms. Alison Lauber Shrum Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000442 GA Practitioner - Family Practice 4688696545 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aid Atlanta Inc CurrentSince May 23, 2016 Accepting new patients
Hope Hospice and Community Services, Inc Family Medicine Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Jenkins County Hospital LLC Past Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine PastSince Oct 31, 2021 Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Screven County Family Health Center, LLC Family Medicine Past Accepting new patients

Locations

1605 Peachtree St NE
Atlanta, GA 30309
Phone (404) 870-7700

770 Greison Trl
Ste H
Newnan, GA 30263
Phone (404) 870-7700

Organizations & group practices 7

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1245320977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD",
            "address_2": "STE 215",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968310",
            "telephone_number": "321-401-1364",
            "fax_number": "407-390-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 GRIESON TRAIL",
            "address_2": "STE H",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636408",
            "telephone_number": "770-252-5420",
            "fax_number": "770-252-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBER",
        "first_name": "ALISON",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "022812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G22812",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000425752X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "SHRUM",
            "middle_name": "LAUBER",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.