Individual provider Active NPI

Laura N. Joseph, M.D.

  • Pediatric Adolescent Medicine Physician
  • Atlanta, GA
National Provider Identifier
1386938173
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
79145 Issued in GA
Practice address
455 Lee Street SW
3Rd FL
Atlanta, GA 30310
Phone
(404) 756-1241
NPI assigned
Jun 9, 2011
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180712000423 GA Practitioner - Pediatric Medicine 0042566606 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260467NYMDPediatrics Physician
79145GAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Healthcare, Inc. Pediatrics CurrentSince May 14, 2018 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

Verify at the official NPI Registry.