NPIMap

Individual provider Active NPI

Laurel Elise Zollars, M.D.

  • Diagnostic Radiology Physician
  • Georgetown, TX
National Provider Identifier
1740234459
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27967 Issued in AL
Practice address
811 Salado Creek LN
Georgetown, TX 78633-6009
Phone
(512) 688-1585
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 044615 GA
Diagnostic Radiology Physician 2085R0202X 27967 AL Primary

Addresses

Primary practice location

811 Salado Creek LN
Georgetown, TX 78633-6009

Mailing address

2050 Arminda CT
Alpharetta, GA 30022-1591
Phone (770) 752-9132

Other identifiers 6

IdentifierTypeStateIssuer
000838527CMedicaidGA
009940927MedicaidAL
009940929MedicaidAL
009940928MedicaidAL
009940926MedicaidAL
009940924MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27967ALMDDiagnostic Radiology Physician
044615GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennewick Public Hospital District Past Accepting new patients
Diagnostic Imaging Specialists PA Diagnostic Radiology Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients
Utmb Faculty Group Practice Diagnostic Radiology PastSince Feb 28, 2010 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients
University Health Physicians Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1740234459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 ARMINDA CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221591",
            "telephone_number": "770-752-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SALADO CREEK LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786336009",
            "telephone_number": "512-688-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLARS",
        "first_name": "LAUREL",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "044615",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "27967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000838527C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940927",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940929",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940928",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940926",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940924",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.