Individual provider Active NPI

Laura Ayers, LCSW

  • Clinical Social Worker
  • Manchester, TN
National Provider Identifier
1457804684
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6399 Issued in TN
Practice address
482 Interstate Dr Ste D
Manchester, TN 37355-3409
Phone
(931) 444-1000
Fax
(931) 728-1229
NPI assigned
Jul 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6399 TN Primary

Addresses

Primary practice location

482 Interstate Dr Ste D
Manchester, TN 37355-3409

Mailing address

1238 Melvin Dr
Murfreesboro, TN 37128-7528

Other practice location 1

1009 N Thompson Ln
Murfreesboro, TN 37129-4351
Phone (423) 506-1058

Other names 1

  • Laura Kelley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200107003515 TN Practitioner - Clinical Social Worker 3779917356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLC 703 clinicians

Practice addresses (Care Compare)

275 Robert Rose Dr
BLDG B
Murfreesboro, TN 37129-6347
Phone (888) 374-5066

5030 Carothers Pkwy
Suite 120
Franklin, TN 37067-6030
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Medical Group LLC CurrentSince Oct 10, 2023 Accepting new patients
Family Care Center, LLC CurrentSince Oct 23, 2023 Accepting new patients
Family Care Center, LLC CurrentSince Oct 23, 2023 Accepting new patients
Coffee Medical Group LLC CurrentSince Oct 10, 2023 Accepting new patients
Coffee Associates a Medical Management Organization, LLC Clinical Past Accepting new patients
Centerwell Health Services USA, LLC Past Accepting new patients

Locations

5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 534-2176

482 Interstate Dr
Ste D
Manchester, TN 37355
Phone (931) 444-1000

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

1615 McMinnville Hwy
Manchester, TN 37355
Phone (931) 450-5062

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1457804684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 MELVIN DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371287528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 INTERSTATE DR STE D",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553409",
            "telephone_number": "931-444-1000",
            "fax_number": "931-728-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 N Thompson Ln",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371294351",
            "country_code": "US",
            "telephone_number": "423-506-1058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYERS",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-23",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KELLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.