Individual provider Active NPI

Lauryn Rose Pierce, PA-C

  • Physician Assistant
  • Hoover, AL
National Provider Identifier
1558786202
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-945 Issued in AL
Practice address
4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone
(205) 985-4111
Fax
(205) 985-4326
NPI assigned
Mar 4, 2014
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-945 AL Primary
Surgical Physician Assistant 363AS0400X PA-945 AL

Addresses

Primary practice location

4517 Southlake Pkwy
Hoover, AL 35244-3280

Mailing address

4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone (205) 985-4111

Other practice location 1

3686 Grandview Pkwy Ste 430
Birmingham, AL 35243-3404
Phone (205) 605-8180

Other identifiers 1

IdentifierTypeStateIssuer
159642MedicaidAL

Other names 1

  • Lauryn Rose Borgschulte Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140507000271 AL Practitioner - Physician Assistant 4284867805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3014 Allison Bonnett Memorial Dr
Suite 144And146
Hueytown, AL 35023-2392
Phone (205) 744-9444

4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone (205) 985-4111

831 Hillcrest Rd
Mobile, AL 36695-4074
Phone (251) 435-2663

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-945ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Orthopaedics Sports Medicine & Spine Center PC Physician Assistant CurrentSince Feb 18, 2014 Accepting new patients
Southern Orthopaedic Alliance PLLC CurrentSince Oct 1, 2023 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Southlake Orthopaedics Sports Medicine and Spine Center, PC CurrentSince Feb 18, 2014 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 430
Birmingham, AL 35243
Phone (205) 605-8180

4517 Southlake Pkwy
Hoover, AL 35244
Phone (205) 329-7585

4517 Southlake Pkwy
Ste 202
Hoover, AL 35244
Phone (205) 985-4111

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1558786202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3686 Grandview Pkwy Ste 430",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433404",
            "country_code": "US",
            "telephone_number": "205-605-8180",
            "fax_number": "205-972-8785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "LAURYN",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA-945",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA-945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159642",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURYN",
            "last_name": "BORGSCHULTE",
            "middle_name": "ROSE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.