Individual provider Active NPI

Lauralie Gibson Korey, P.A.

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1295885911
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6765 Issued in GA
Practice address
550 Peachtree Rd
Suite 1700
Atlanta, GA 30308
Phone
(510) 846-8511
NPI assigned
Jan 12, 2007
Last updated
Aug 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 18636 CA
Medical Physician Assistant 363AM0700X PA910557 FL
Medical Physician Assistant 363AM0700X 6765 GA Primary

Addresses

Primary practice location

550 Peachtree Rd
Suite 1700
Atlanta, GA 30308

Mailing address

550 Peachtree Rd
Suite 1700
Atlanta, GA 30108
Phone (510) 846-8511

Other names 1

  • Lauralie Gibson Steele Former 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141003000915 GA Practitioner - Physician Assistant 9739225855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006765GAMDInternal Medicine Physician
18636CAMDOccupational Therapist
PA910557FLMDMedical Physician Assistant
6765GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
KC Procedures LLC Past Accepting new patients
Five Star Diagnostics LLC PastSince Aug 6, 2017 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lauralie.korey.1@2435.direct.athenahealth.com

Organizations & group practices 5

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1295885911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE RD",
            "address_2": "SUITE 1700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30108",
            "telephone_number": "510-846-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE RD",
            "address_2": "SUITE 1700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30308",
            "telephone_number": "510-846-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOREY",
        "first_name": "LAURALIE",
        "middle_name": "GIBSON",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "18636",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA910557",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "6765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURALIE",
            "last_name": "STEELE",
            "middle_name": "GIBSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.