LAURA DEGLER ELLEDGE (NPI# 1053771915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053771915 |
| Entity Type | Individual |
| Full Name | LAURA DEGLER ELLEDGE |
| Credential | NP-C |
| Practice Address |
3200 Downwood Cir Nw Ste 550 Atlanta GA 30327-1624 |
| Practice Telephone | 4043510205 |
| Practice Fax Number | 4043514187 |
| Mailing Telephone | 4043510205 |
| Mailing Fax Number | 4043514187 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN138324 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN138324 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003180783C | 05 | |
| GA | 003180783A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 960 Johnson Ferry Rd, Suite 130, Atlanta, GA 303421631 | 4043002990 | 4043002986 |
| Street Address |
3200 DOWNWOOD CIR NW STE 550 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295709772 | Lawrence G Seiden | Psychiatry & Neurology | 3200 Downwood Cir Nw Ste 550, Atlanta, GA 30327-1624 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963456 | Catelyn Conway Wheeler | Nurse Practitioner | 970 Gilbert St Se, Atlanta, GA 30316-2509 | 2020-08-20 |
| 1033737754 | Meagan Ashley Short | Nurse Practitioner | 993 Johnson Fy Rd Ne Ste F210, Atlanta, GA 30342-1688 | 2020-07-09 |
| 1538796537 | Johnanika Lanya House | Nurse Practitioner | 77 Collier Rd Nw Ste 2000, Atlanta, GA 30309-1754 | 2020-03-27 |
| 1952938466 | Kelsey Claire Jones | Nurse Practitioner | 1325 Benteen Park Dr Se, Atlanta, GA 30315-4441 | 2020-03-25 |
| 1457986598 | Joi Aimee Bell-blanding | Nurse Practitioner | 318 Parducci Trl, Atlanta, GA 30349-8125 | 2020-03-09 |
| 1932734530 | Wellness Rx Medical Services LLC | Nurse Practitioner | 1379 Plaza Ave Sw, Atlanta, GA 30310-3742 | 2020-03-04 |
| 1366089757 | Katherine Elizabeth Mitzel | Nurse Practitioner | 95 Collier Rd Nw Ste 4055, Atlanta, GA 30309-1749 | 2019-12-04 |
| 1114564754 | Mary Twum Arthur | Nurse Practitioner | 7 Executive Park Dr Ne Apt 2303, Atlanta, GA 30329-2270 | 2019-12-02 |
| 1770127060 | Trinetta Gipson | Nurse Practitioner | 2300 Global Forum Blvd Apt 838, Atlanta, GA 30340-4486 | 2019-10-30 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.