Laura Ashley Pedigo, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

8572 Issued in SC

Practice address

1 Memorial Medical Dr
Greenville, SC 29605-4407

Phone

(864) 351-2400

Fax

(864) 351-2420

NPI assigned

Jun 27, 2015

Last updated

Dec 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Horizon Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1205949757
  Medicare reassignment NPD
• New Horizon Family Health Services Inc

  dba New Horizon Family Health Services - Berea

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1629872734
  NPD
• New Horizon Family Health Services, Inc.

  dba New Horizon Family Health Services - Main Site

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1043495526
  NPD
• New Horizon Family Health Services Inc.

  dba Care Team Express Mobile Medical Unit 2

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1356127021
  NPD (past)
• New Horizon Family Health Services, Inc.

  dba New Horizon Family Dental Care

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1720157290
  NPD (past)

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1407238322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAGNOLIA FARMS WAY",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737592",
            "telephone_number": "864-844-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL MEDICAL DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054407",
            "telephone_number": "864-351-2400",
            "fax_number": "864-351-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDIGO",
        "first_name": "LAURA",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpedigo@newhorizonfhs.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Memorial Medical Dr",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pediatric Hair Solutions Corporation
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• Pediatric Support and Intervention, LLC
• Pediatric Therapy Services LLC
• Pediatrics Unlimited Inc
• Elizabeth McClintock Peebles, PHARM D
• Tammy Anderson Peek, BC-HIS
• Thomas Devon Peightal, PHARMD
• Janet Pelfrey, RN
• Madison Ann-Nicole Pelfrey

• Dentist in Greenville, SC
• Providers in Greenville, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.

Verify at the official NPI Registry.