Individual provider Active NPI

Laura Brooke Farless, MD

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1992917082
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
067414 Issued in GA
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

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00481527MedicaidMS
051118053OtherALBCBS
129907MedicaidAL
129909MedicaidAL
129914MedicaidAL
051118048OtherALBCBS
129905MedicaidAL
051118052OtherALBCBS
051118051OtherALBCBS
129906MedicaidAL
129912MedicaidAL
133118MedicaidAL
Z01903OtherALVIVA
051118049OtherALBCBS
051118055OtherALBCBS
051118047OtherALBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130322000363 GA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 9931250131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27790ALMDInternal Medicine Physician
MD28152ORMDInternal Medicine Physician
MD00049416WAMDInternal Medicine Physician
67414GAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Savannah, Inc CurrentSince Jan 1, 2022 Accepting new patients
Steward Center for Palliative Care CurrentSince Mar 1, 2013 Accepting new patients
Cadenza Health, P.C. PastSince Mar 26, 2023 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.

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"
        },
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            "issuer": null,
            "identifier": "129914",
            "state": "AL"
        },
        {
            "code": "01",
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            "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

Verify at the official NPI Registry.