Laura Dawn Bachman, MS PSYCOLOGY

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

472 Rogers Ave
Macon, GA 31204-2042

Phone

(478) 213-7511

Fax

(478) 745-9040

NPI assigned

Jan 3, 2013

Last updated

Jan 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1649517194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 ROGERS AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042042",
            "telephone_number": "478-213-7511",
            "fax_number": "478-745-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 ROGERS AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042042",
            "telephone_number": "478-213-7511",
            "fax_number": "478-745-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "LAURA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "MS PSYCOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126444A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kierra Bacon
• Baconsfield Homecare Equipment Inc (Chichesters Homecare)

• Case Manager/Care Coordinator in Macon, GA
• Providers in Macon, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.