Individual provider Active NPI

Laura McGevna, M.D.

  • Dermatology Physician
  • South Burlington, VT
National Provider Identifier
1730322306
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0420012621 Issued in VT
Practice address
30 Farrell St Ste 200
South Burlington, VT 05403-6395
Phone
(802) 864-9522
Fax
(802) 859-8928
NPI assigned
Apr 13, 2009
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0420012621 VT Primary

Addresses

Primary practice location

30 Farrell St Ste 200
South Burlington, VT 05403-6395

Mailing address

30 Farrell St
South Burlington, VT 05403-6012
Phone (802) 864-9522

Other identifiers 1

IdentifierTypeStateIssuer
1730322306OtherVTNPI

Other names 1

  • Laura Faye McGevna Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20130628000614 VT Practitioner - Dermatology 3274773056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Vermont College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swae Skin, LLCGroup PAC ID 1658747456, 3 clinicians

Practice addresses (Care Compare)

30 Farrell St
Suite 200
South Burlington, VT 05403-6395
Phone (802) 355-9730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions751
Removal or shaving of skin growth11
Skin biopsy453

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420012621VTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Mountain Dermatology PLLC Dermatology CurrentSince May 1, 2026 Accepting new patients
Swae Skin LLC Dermatology CurrentSince Aug 15, 2022 Accepting new patients
Four Seasons Dermatology LLC Dermatology CurrentSince Sep 1, 2019 Accepting new patients
Direct Dermatology Professionals PC Dermatology Past Accepting new patients

Locations

354 Mountain View Dr
Ste 300
Colchester, VT 05446
Phone 8028640192115

30 Farrell St
Ste 200
South Burlington, VT 05403
Phone (802) 355-9730

28 Stowe St
Ste 3
Waterbury, VT 05676
Phone (802) 864-0492

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1730322306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FARRELL ST",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036012",
            "telephone_number": "802-864-9522",
            "fax_number": "802-859-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FARRELL ST STE 200",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036395",
            "telephone_number": "802-864-9522",
            "fax_number": "802-859-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEVNA",
        "first_name": "LAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VT",
            "license": "0420012621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730322306",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MCGEVNA",
            "middle_name": "FAYE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.