Laura Stembridge Oliver, MPA, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006273 Issued in GA

Practice address

102 Bowling LN
Dublin, GA 31021-2502

Phone

(478) 272-0203

Fax

(478) 272-0223

NPI assigned

Sep 13, 2011

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: laura.oliver@oconeeregional.gadirect.net
• Direct secure messaging: laura.oliver.1@8042.direct.athenahealth.com

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.

• Dr.Soos Pediatrics, PC

  • Pediatrics Physician
  • Dublin, GA
  • NPI 1851676589
  NPD (past)
• The After Owls Pediatric Care,LLC

  • Pediatrics Physician
  • Dublin, GA
  • NPI 1972880995
  NPD (past)

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1457633737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BOWLING LN",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212502",
            "telephone_number": "478-272-0203",
            "fax_number": "478-272-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BOWLING LN",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212502",
            "telephone_number": "478-272-0203",
            "fax_number": "478-272-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "LAURA",
        "middle_name": "STEMBRIDGE",
        "credential": "MPA, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003114423E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003114423D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheneka Williams Odom, FNP
• Emma Odotei, LCSW
• Dariella Odum
• Osita Winston Okechukwu, M.D
• Ansley Brantley Oliver, CRNA
• Robert Walter Oliver Jr., M.D.
• Olabisi Oj Olumuyiwa, PHARMD
• Omega Emergency Physicians, LLC
• Optim Orthopedics, LLC
• Orthopro Services, LLC

• Physician Assistant in Dublin, GA
• Providers in Dublin, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.