Laurel West, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9111487 Issued in FL

Practice address

790 Veteran'S Parkway Suite #101
Hinesville, GA 31313

Phone

(912) 427-8433

Fax

(912) 427-9851

NPI assigned

Jul 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1407426562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 608",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320410608",
            "telephone_number": "904-643-0574",
            "fax_number": "912-427-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 VETERAN'S PARKWAY SUITE #101",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-427-8433",
            "fax_number": "912-427-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "replacement_npi": "1407426562",
        "last_name": "WEST",
        "first_name": "LAUREL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9280",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9111487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Chiropractic LLC
• Brandy Michelle Wenger, LMT, NMT
• Annarose Danielle Werner, RN
• Edward Rondell West Jr.
• Jessica Lynn West, NP-C
• Valeria Kim West
• Majorie Westberry
• Michael Wheelis, MD
• Joy Whitehead
• Alisa-Ann Adel Whiteman, MA

• Medical Physician Assistant in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.