Active NPI
Alison A. Lauber, MD
- Family Medicine Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 022812
- 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, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G22812 | Medicaid | SC | |
| 000425752X | Medicaid | GA |
Other names 1
- Ms. Alison Lauber Shrum
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aid Atlanta Inc | Current | 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 | Past | 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.
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Family Medicine
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.