Individual provider Active NPI

Lauren Ourt Wieme, PA-C

  • Physician Assistant
  • Evans, GA
National Provider Identifier
1295985125
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005449 Issued in GA
Practice address
1205 Town Park LN
Evans, GA 30809-3481
Phone
(706) 868-3100
Fax
(706) 228-3125
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005449 GA Primary

Addresses

Primary practice location

1205 Town Park LN
Evans, GA 30809-3481

Mailing address

1205 Town Park LN
Evans, GA 30809-3481
Phone (706) 868-3100

Other identifiers 1

IdentifierTypeStateIssuer
704571083AMedicaidGA

Other names 1

  • Miss Lauren Meredith Ourt 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
I20091111000443 GA Practitioner - Physician Assistant 2365580321 Reassigns benefits to 1 organization

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
Evans Medical GroupGroup PAC ID 7719976521, 14 clinicians

Practice addresses (Care Compare)

1205 Town Park LN
Evans, GA 30809-3481
Phone (706) 868-3100

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OBGYN Partners of Augusta, Professional Corporation Past Accepting new patients
Juanita G Trimor MD PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lauren.wieme.1@7697.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1295985125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 TOWN PARK LN",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093481",
            "telephone_number": "706-868-3100",
            "fax_number": "706-228-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 TOWN PARK LN",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093481",
            "telephone_number": "706-868-3100",
            "fax_number": "706-228-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEME",
        "first_name": "LAUREN",
        "middle_name": "OURT",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "704571083A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "OURT",
            "middle_name": "MEREDITH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.