Laura Cheshire, NP
Individual provider Active NPI Nurse Practitioner · Macon, GA
NPI 1508876087 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1508876087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN113092 (GA)
- Practice address
- 777 Hemlock St
HB 64
Macon, GA 31201-2102 - Phone
- (478) 633-2097
- Fax
- (478) 633-7836
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040823000927 | GA | Practitioner - Nurse Practitioner | 9436123718 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Emergency Group, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Emerginet, LLC | Current |
Accepting new patients | |
| Central Georgia Emergency Group, LLC | Current |
Accepting new patients | |
| Parkway Anesthesia Consultants, PC | Past | Accepting new patients |
Locations
1000 Thornton Rd
Lithia Springs, GA 30122
Phone (770) 732-7660
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
777 Hemlock St
#64
Macon, GA 31201
Phone (478) 633-2097
821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500
Interoperability endpoints
- laura.cheshire@oconeeregional.gadirect.net
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN113092 | GA | Yes |
Addresses
Primary practice location
777 Hemlock St
HB 64
Macon, GA 31201-2102
Mailing address
170 Hickory PT
Buckhead, GA 30625-2900
Phone (706) 485-5129
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 984039132A | Medicaid | GA |
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.