Individual provider Active NPI

Laurie Ansley Gerhard, ARNP-BC

  • Nurse Practitioner
  • Rome, GA
National Provider Identifier
1962440461
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN053785 Issued in GA
Practice address
28 John Davenport Dr NW
Rome, GA 30165-2536
Phone
(706) 232-1503
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN053785 GA Primary

Addresses

Primary practice location

28 John Davenport Dr NW
Rome, GA 30165-2536

Mailing address

31 Pine Valley Rd SW
Rome, GA 30165-4337
Phone (706) 235-5153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051013000567 FL Practitioner - Nurse Practitioner 8426073909
I20090130000045 GA Practitioner - Nurse Practitioner 8426073909 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4229SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers Community Service Board Current Accepting new patients
Highland Rivers CSB CurrentSince Apr 12, 2017 Accepting new patients
Highland Rivers CSB CurrentSince Apr 12, 2017 Accepting new patients
Kolbe Clinic of Florida, LLC CurrentSince Apr 24, 2023 Accepting new patients
SF Georgia Medical Services PC CurrentSince Jul 15, 2019 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Harbin Clinic, LLC Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
Navarre Sleep Disorder Group Inc PastSince Apr 24, 2023 Accepting new patients
Nephrology Associates of the Gulf Coast, PA Past Accepting new patients

Locations

1830 Montclair Rd
Ste A
Irondale, AL 35210
Phone (205) 775-0300

2903 Stirling Rd
Fort Lauderdale, FL 33312
Phone 2124198180 ext. 98180

8734 Ortega Park Dr
Navarre, FL 32566
Phone (850) 904-2277

1449 Temple Rd
Bremen, GA 30110
Phone (770) 537-2367

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003

Organizations & group practices 10

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1962440461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE VALLEY RD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654337",
            "telephone_number": "706-235-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 JOHN DAVENPORT DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652536",
            "telephone_number": "706-232-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERHARD",
        "first_name": "LAURIE",
        "middle_name": "ANSLEY",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN053785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.