Individual provider Active NPI

Laura Ashley Schwalls, NP-C

  • Family Nurse Practitioner
  • Moultrie, GA
National Provider Identifier
1326436759
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN211599 Issued in GA
Practice address
207 31St Ave SE
Moultrie, GA 31768-6703
Phone
(229) 217-0088
Fax
(229) 217-0086
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN211599 GA Primary

Addresses

Primary practice location

207 31St Ave SE
Moultrie, GA 31768-6703

Mailing address

207 31St Ave SE
Moultrie, GA 31768-6703
Phone (229) 217-0088

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
I20150227000744 GA Practitioner - Nurse Practitioner 6507182003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenient Care LLCGroup PAC ID 4082886825, 2 clinicians

Practice addresses (Care Compare)

207 31St Ave SE
Moultrie, GA 31768-6703
Phone (229) 217-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care, LLC Current Accepting new patients
Convenient Care LLC CurrentSince Apr 29, 2024 Accepting new patients
Tallahassee Neurology Specialists, P.L. CurrentSince Aug 17, 2020 Accepting new patients
Tallahassee Neurology Specialists PL CurrentSince Aug 17, 2020 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1401 Oven Park Dr
Ste 201
Tallahassee, FL 32308
Phone (850) 765-8623

207 31st Ave SE
Moultrie, GA 31768
Phone (229) 217-0088

500 Gordon Ave
Thomasville, GA 31792
Phone (229) 226-5800

119 W Hansell St
Thomasville, GA 31792
Phone (229) 226-7873

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1326436759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 31ST AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686703",
            "telephone_number": "229-217-0088",
            "fax_number": "229-217-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 31ST AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686703",
            "telephone_number": "229-217-0088",
            "fax_number": "229-217-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWALLS",
        "first_name": "LAURA",
        "middle_name": "ASHLEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN211599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.