Individual provider Active NPI

Laura A. Kurata Ling

  • Family Medicine Physician
  • Madison, TN
National Provider Identifier
1598225492
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68125 Issued in TN
Practice address
2009 Gallatin Pike N
Madison, TN 37115-2001
Phone
(615) 988-4055
Fax
(877) 721-6419
NPI assigned
Mar 25, 2019
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0094913 MD
Family Medicine Physician 207Q00000X 68125 TN Primary

Addresses

Primary practice location

2009 Gallatin Pike N
Madison, TN 37115-2001

Mailing address

2009 Gallatin Pike N
Madison, TN 37115-2001
Phone (615) 988-4055

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LLing@centerwell.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807002796 AL Practitioner - Family Practice 1456735802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0094913MDMDFamily Medicine Physician
68125TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evernorth Care Providers - Tennessee PC CurrentSince Jul 23, 2024 Accepting new patients
Evernorth Care Providers - Tennessee PC CurrentSince Jul 23, 2024 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

730 Cool Springs Blvd
Ste 500
Franklin, TN 37067

Interoperability endpoints

  • Direct secure messaging: lling@centerwell.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1598225492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152001",
            "telephone_number": "615-988-4055",
            "fax_number": "877-721-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152001",
            "telephone_number": "615-988-4055",
            "fax_number": "877-721-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LING",
        "first_name": "LAURA",
        "middle_name": "A. KURATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0094913",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "68125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LLing@centerwell.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2009 Gallatin Pike N",
            "city": "Madison",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371152001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.