Laura Scileppi Mudrich, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN228401 Issued in GA

Practice address

109 Hospital Dr
Calhoun, GA 30701-2067

Phone

(706) 625-0333

Fax

(706) 625-1269

NPI assigned

Oct 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Family Medical Providers, PLLC

  • Family Medicine Physician
  • Chattanooga, TN
  • NPI 1871140475
  NPD

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1669843603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12938",
            "address_2": "C/O CLINIC MANAGEMENT",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307037013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HOSPITAL DR",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012067",
            "telephone_number": "706-625-0333",
            "fax_number": "706-625-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDRICH",
        "first_name": "LAURA",
        "middle_name": "SCILEPPI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN228401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN228401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003198832A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacy Autumn Moran, NP
• Sandra Gail Morgan, CCC-SLP
• Tyler Morris, DC
• Stephani Morss, APC
• Julie T Motes, RPH
• Ryan Jacob Mullins, M.D.
• Jennifer Marie Murphy, P.T.
• Keetra Lauren Murphy, CSFA
• Muse Ic LLC
• Charity Michelle Muse, MS, LPC

• Family Nurse Practitioner in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.