Active NPI
Laura N. Joseph, M.D.
- Pediatric Adolescent Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 79145
- Practice address
- 455 Lee Street SW
3Rd FL
Atlanta, GA 30310 - Phone
- (404) 756-1241
- NPI assigned
- Jun 9, 2011
- Last updated
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 260467 | NY | |
| Pediatrics Physician | 208000000X | 79145 | GA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 79145 | GA | Primary |
Addresses
Primary practice location
455 Lee Street SW
3Rd FL
Atlanta, GA 30310
Mailing address
720 Westview Drive SW
Harris BLDG., 100-a
Atlanta, GA 30310
Phone (404) 756-1400
Other practice location 1
1800 Howell Mill Rd NW Ste 550
Atlanta, GA 30318-3099
Phone (404) 756-1290
Other practice location 2
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9850
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260467 | NY | MD | Pediatrics Physician |
| 79145 | GA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Healthcare, Inc. | Pediatrics | Current | Accepting new patients |
Locations
1800 Howell Mill Rd NW
Ste 550
Atlanta, GA 30318
Phone (404) 756-1290
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9500
455 Lee St SW
Fl 3
Atlanta, GA 30310
Phone (404) 756-1241
720 Westview Dr SW
Atlanta, GA 30310
Phone (404) 756-1383
720 Westview Dr SW
Bldg 100A
Atlanta, GA 30310
1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086
Organizations & group practices 1
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": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1386938173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WESTVIEW DRIVE SW",
"address_2": "HARRIS BLDG., 100-A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30310",
"telephone_number": "404-756-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 LEE STREET SW",
"address_2": "3RD FL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30310",
"telephone_number": "404-756-1241"
}
],
"practiceLocations": [
{
"address_1": "1800 Howell Mill Rd NW Ste 550",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303183099",
"country_code": "US",
"telephone_number": "404-756-1290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Jesse Hill Jr Dr SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30303",
"country_code": "US",
"telephone_number": "404-785-9850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "LAURA",
"middle_name": "N.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2021-01-29",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "260467",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "79145",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "GA",
"license": "79145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.