Individual provider Active NPI

Tara Hutchinson Lausch, NP-C

  • Family Nurse Practitioner
  • Dublin, GA
National Provider Identifier
1588074751
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213219 Issued in GA
Practice address
102 Bowling LN
Dublin, GA 31021-2502
Phone
(478) 272-0203
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN213219 GA
Family Nurse Practitioner 363LF0000X 213219 GA Primary

Addresses

Primary practice location

102 Bowling LN
Dublin, GA 31021-2502

Mailing address

217 Ridge Cir
Dublin, GA 31021-3717
Phone (478) 278-4392

Other practice location 1

200 Industrial Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20140818001584 GA Practitioner - Nurse Practitioner 4082831987 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN213219GAMDRegistered Nurse
213219GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians - Southeast PC CurrentSince Jul 31, 2019 Accepting new patients
Curana Health Medical Group LLC CurrentSince Sep 16, 2024 Accepting new patients
The After Owls Pediatric Care,LLC PastSince Apr 6, 2021 Accepting new patients
Dr.Soos Pediatrics, PC PastSince Apr 6, 2021 Accepting new patients

Locations

2122 Cumming Rd
Augusta, GA 30904
Phone (706) 737-8258

2541 Milledgeville Rd
Augusta, GA 30904
Phone (706) 735-2581

2274 Salem Rd SE
Conyers, GA 30013
Phone (404) 974-6578

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1588074751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 RIDGE CIR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213717",
            "telephone_number": "478-278-4392"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310212981",
            "country_code": "US",
            "telephone_number": "478-275-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUSCH",
        "first_name": "TARA",
        "middle_name": "HUTCHINSON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN213219",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "213219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.