Active NPI
Eileen C Lau, P.A.
- Physician Assistant
- Austell, GA
National Provider Identifier
1992973127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005253
- Practice address
- 3820 Medical Park Dr
Austell, GA 30106-1110 - Phone
- (770) 948-6041
- Fax
- (770) 819-2987
- NPI assigned
- Feb 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005253 | GA | Primary |
Addresses
Primary practice location
3820 Medical Park Dr
Austell, GA 30106-1110
Mailing address
535 Maxham Rd
Suite a
Austell, GA 30168-5541
Phone (770) 948-6041
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Lung Associates PC | Past | Accepting new patients |
Interoperability endpoints
- eileen.lau.1@10801.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Clinic/Center
- Dunwoody, GA
- NPI 1447370234
-
- Pulmonary Disease Physician
- Austell, GA
- NPI 1104989136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1992973127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 MAXHAM RD",
"address_2": "SUITE A",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301685541",
"telephone_number": "770-948-6041",
"fax_number": "770-948-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 MEDICAL PARK DR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061110",
"telephone_number": "770-948-6041",
"fax_number": "770-819-2987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "EILEEN",
"middle_name": "C",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "005253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.