Laurie H Gillespie, MD
Individual provider Active NPI Pediatrics Physician · Macon, GA
NPI 1891780094 · NPPES record last updated Oct 25, 2018
Key facts
- NPI
- 1891780094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD.35484 (AL)
- Practice address
- 3888 Northside Dr
Macon, GA 31210-2417 - Phone
- (478) 477-4044
- Fax
- (478) 477-7076
- NPI assigned
- Sep 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.35484 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of Gainesville, P. C. | Past |
Accepting new patients | |
| Aa-Pain Management P.C. | Past | Accepting new patients | |
| Habersham County Commissioner | Past | Accepting new patients | |
| Storybook Pediatrics, P.C. | Past | Accepting new patients | |
| Northside Pediatrics PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10038297
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD.35484 | AL | Yes |
Addresses
Primary practice location
3888 Northside Dr
Macon, GA 31210-2417
Mailing address
3888 Northside Dr
Macon, GA 31210-2417
Phone (478) 477-4044
Other providers in Macon, GA
- Mary Kopp Giddens
- Napoleon Gifford
- Wendy J. Gigliotti
- Lori G Gilbert
- Pinkney Henry Gilchrist IV
- Cassandra Shea Gilliam
- Stephanie Gilman
- Sandra Dianne Gilmore
- Sarah Gilmore
- Erica Girardeau
All providers in Macon, GA · Pediatrics 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 Oct 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.