Active NPI
Laura Brooke Farless, MD
- Internal Medicine Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 067414
- Practice address
- 5354 Reynolds St
Savannah, GA 31405-6007 - Phone
- (912) 819-5999
- Fax
- (912) 819-5980
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27790 | AL | |
| Internal Medicine Physician | 207R00000X | MD28152 | OR | |
| Internal Medicine Physician | 207R00000X | MD00049416 | WA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 67414 | GA | |
| Internal Medicine Physician | 207R00000X | 067414 | GA | Primary |
Addresses
Primary practice location
5354 Reynolds St
Savannah, GA 31405-6007
Mailing address
123 Grays Creek Dr
Savannah, GA 31410-1042
Phone (205) 960-5105
Other practice location 1
4300 W 7th St
Little Rock, AR 72205-5446
Phone (501) 257-1000
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00481527 | Medicaid | MS | |
| 051118053 | Other | AL | BCBS |
| 129907 | Medicaid | AL | |
| 129909 | Medicaid | AL | |
| 129914 | Medicaid | AL | |
| 051118048 | Other | AL | BCBS |
| 129905 | Medicaid | AL | |
| 051118052 | Other | AL | BCBS |
| 051118051 | Other | AL | BCBS |
| 129906 | Medicaid | AL | |
| 129912 | Medicaid | AL | |
| 133118 | Medicaid | AL | |
| Z01903 | Other | AL | VIVA |
| 051118049 | Other | AL | BCBS |
| 051118055 | Other | AL | BCBS |
| 051118047 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27790 | AL | MD | Internal Medicine Physician |
| MD28152 | OR | MD | Internal Medicine Physician |
| MD00049416 | WA | MD | Internal Medicine Physician |
| 67414 | GA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice Savannah, Inc | Current | Accepting new patients | |
| Steward Center for Palliative Care | Current | Accepting new patients | |
| Cadenza Health, P.C. | Past | Accepting new patients |
Locations
1352 Eisenhower Dr
Savannah, GA 31406
Phone (912) 354-8014
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
1674 Chatham Pkwy
Savannah, GA 31405
Phone (912) 354-8014
Organizations & group practices 3
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.
-
- Community Based Hospice Care Agency
- Savannah, GA
- NPI 1508812447
-
- Case Management Agency
- Savannah, GA
- NPI 1013964907
-
- Hospitalist Physician
- Vestavia HLS, AL
- NPI 1023040672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1992917082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 GRAYS CREEK DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314101042",
"telephone_number": "205-960-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5354 REYNOLDS ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056007",
"telephone_number": "912-819-5999",
"fax_number": "912-819-5980"
}
],
"practiceLocations": [
{
"address_1": "4300 W 7th St",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722055446",
"country_code": "US",
"telephone_number": "501-257-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARLESS",
"first_name": "LAURA",
"middle_name": "BROOKE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "27790",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD28152",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00049416",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "GA",
"license": "67414",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "067414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00481527",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051118053",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129907",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129909",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129914",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051118048",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129905",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051118052",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051118051",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129906",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129912",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133118",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "Z01903",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051118049",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051118055",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051118047",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.