Laurel Baye Healthcare of Macon, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-011-1641 Issued in GA

Legal business name

LAUREL BAYE HEALTHCARE OF MACON, LLC

Practice address

505 Coliseum Dr
Macon, GA 31217-3840

Phone

(478) 743-8687

NPI assigned

Oct 7, 2005

Last updated

Jun 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tom Tiller

Title

Cfo

Phone

(843) 216-6800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1902894603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 COLISEUM DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173840",
            "telephone_number": "478-743-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COLISEUM DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173840",
            "telephone_number": "478-743-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL BAYE HEALTHCARE OF MACON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-216-6800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-011-1641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000141523A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry M Kohse MD LLC
• Leslie Carol Larson, FNP-C
• Wanda Lafay Lary, RN
• Barbara W Lathrop, NP
• Haroon Latif, MD
• Laurie C. Tharpe, M.D., L.L.C.
• Lavista Home Care Solutions LLC
• Garrett Bonner Law, A.T.C.
• Justin McIvor Law, MD
• Elias Adedamola Lawal, MD

• Skilled Nursing Facility in Macon, GA
• Providers in Macon, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.