Laura Hallock, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

104266 Issued in GA

Practice address

11525 Haynes Bridge Rd Ste 200
Alpharetta, GA 30009-4822

Phone

(770) 751-0800

Fax

(770) 751-7198

NPI assigned

Mar 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Laura Mann Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1194

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

• Roswell Pediatric Center, P.C.

  • Pediatrics Physician
  • Alpharetta, GA
  • NPI 1487772596
  NPD

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1275273195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 HAYNES BRIDGE RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300094822",
            "telephone_number": "770-751-7198",
            "fax_number": "770-751-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 HAYNES BRIDGE RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300094822",
            "telephone_number": "770-751-0800",
            "fax_number": "770-751-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOCK",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "104266",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL87955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Buckley Hall, BS PHARM
• Ginnene A.G. Hall, RN, CNP
• Jami L Hall, CCC-SLP
• Rebecca Hall
• Willis Hall, PT, DPT
• Leah Halloran, RN
• Kristen Mays Hallsworth, MED
• Ji Hee Ham, M.ED., CCC-SLP
• Jeffery Wayne Hamilton Jr.
• Lindsay H Hamilton, LCSW

• Pediatrics Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.

Verify at the official NPI Registry.