Individual provider Active NPI

Laura Devereaux Buch, PA

  • Medical Physician Assistant
  • Greenville, SC
National Provider Identifier
1346801164
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3247 Issued in SC
Practice address
14 Edgewood Dr
Greenville, SC 29605-4246
Phone
(864) 678-7886
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3247 SC Primary

Addresses

Primary practice location

14 Edgewood Dr
Greenville, SC 29605-4246

Mailing address

101 Gregor Mendel Cir
Greenwood, SC 29646-2316
Phone (864) 941-8100

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906001548 SC Practitioner - Physician Assistant 5597094177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greenwood Genetic Center LabGroup PAC ID 9830097039, 9 clinicians

Practice addresses (Care Compare)

101 Gregor Mendel Cir
Greenwood, SC 29646-2316
Phone (864) 941-8100

101 Gregor Mendel Circle
Greenwood, SC 29646-2316

14 Edgewood Dr
Greenville, SC 29605-4246
Phone (864) 250-7944

1911 Thurmond Mall
Columbia, SC 29201-2375
Phone (803) 799-5359

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Genetics Center, Inc. Current Accepting new patients
Greenwood Genetic Center Lab CurrentSince Jun 11, 2019 Accepting new patients
Greenwood Genetics Center, Inc. CurrentSince Jun 11, 2019 Accepting new patients

Locations

14 Edgewood Dr
Greenville, SC 29605
Phone (864) 232-1803

101 Gregor Mendel Cir
Greenwood, SC 29646
Phone (864) 941-8100

Interoperability endpoints

  • Direct secure messaging: lbuch473662@direct.musc.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1346801164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREGOR MENDEL CIR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462316",
            "telephone_number": "864-941-8100",
            "fax_number": "864-388-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 EDGEWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054246",
            "telephone_number": "864-678-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCH",
        "first_name": "LAURA",
        "middle_name": "DEVEREAUX",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "3247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.