NPIMap

Individual provider Active NPI

Lauren Marie South, PA-C

  • Physician Assistant
  • Saratoga Springs, NY
National Provider Identifier
1649904251
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028489 Issued in NY
Practice address
4 Congress PL
Saratoga Springs, NY 12866-4180
Phone
(518) 450-4594
Fax
(518) 450-4544
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 028489 NY Primary

Addresses

Primary practice location

4 Congress PL
Saratoga Springs, NY 12866-4180

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other names 1

  • Lauren Marie Maitner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907001296 NY Practitioner - Physician Assistant 4284018425 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians
St. Peter'S Health Partners Medical Associates, P.C.Group PAC ID 6103061189, 480 clinicians

Practice addresses (Care Compare)

1019 New Loudon Rd
Cohoes, NY 12047-5003
Phone (518) 264-4600

115 Saratoga Rd
Suite 110
Glenville, NY 12302-4210
Phone (518) 264-2900

2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 525-8220

4 Congress PL
Saratoga Springs, NY 12866-4180
Phone (518) 450-4594

Hospital & facility affiliations

  • Eddy Visiting Nurse & Rehab Association Home health agency, Troy, NY, CCN 337203
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028489NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. Physician Assistant CurrentSince Jun 10, 2024 Accepting new patients
Albany Medical College CurrentSince Jun 26, 2023 Accepting new patients
Albany Medical College CurrentSince Jun 26, 2023 Accepting new patients
Albany Medical College CurrentSince Jun 26, 2023 Accepting new patients
Albany Medical College Physician Assistant Past Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Physician Assistant Past Accepting new patients

Locations

98 Wolf Rd
Ste 16
Albany, NY 12205
Phone (518) 264-9500

1019 New Loudon Rd
Cohoes, NY 12047
Phone (518) 262-7500

329 Glenmont Rd
Glenmont, NY 12077
Phone (518) 264-4603

5 New Karner Rd
Guilderland, NY 12084
Phone (518) 869-8007

4 Congress Pl
Saratoga Springs, NY 12866
Phone (518) 450-4594

2976 Route 9W
Saugerties, NY 12477
Phone (518) 264-9400

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

1400 Altamont Ave
Schenectady, NY 12303
Phone (518) 356-1131

1769 Union St
Schenectady, NY 12309
Phone (518) 264-4768

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

730 Hoosick Rd
Troy, NY 12180
Phone (518) 264-3200

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: lmaitner33903@albanymed.direct-ci.com
  • Direct secure messaging: lmaitner3386939@direct.trinity-health.org

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.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1649904251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CONGRESS PL",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664180",
            "telephone_number": "518-450-4594",
            "fax_number": "518-450-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Cred",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4 Congress Pl",
            "city": "Saratoga Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128664180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MAITNER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.