Laura Barrera, MD
Individual provider Active NPI General Practice Physician · Moody Afb, GA
NPI 1811570864 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1811570864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 0101282260 (VA)
- Practice address
- 3278 Mitchell Blvd
Moody Afb, GA 31699-0401 - Phone
- (229) 257-2778
- NPI assigned
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Georgia Emergency Medicine Associates PC
Practice addresses (Care Compare)
4280 N Valdosta Rd
Valdosta, GA 31602-6814
Phone (229) 433-8000
Hospital & facility affiliations
- SGMC Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250916001398 | GA | Practitioner - Emergency Medicine | 7719380583 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101282260 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Emergency Medicine Associates PC | Emergency Medicine | Current |
Accepting new patients |
| Hedera Counseling Center | Past |
Accepting new patients |
Locations
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101282260 | VA | |
| General Practice Physician | 208D00000X | 0101282260 | VA | Yes |
Addresses
Primary practice location
3278 Mitchell Blvd
Moody Afb, GA 31699-0401
Mailing address
3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Phone (229) 257-2778
Other providers in Moody Afb, GA
- 23D Medgrp-Moody
- 23D Medgrp-Moody
- Meshva Akwalia
- Michael Argyle
- Bethany Barber
- Lawanna Renee Barron
- Catherine Johanna Dennis Bernal
- Christopher Berrios
- Chantel Bethune-Barrett
- Christopher S Boyd
All providers in Moody Afb, GA · General Practice Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.