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LAURA BORDEU PRIDE PA
NPI 1134588270
Physician Assistant in Marietta, GA

Active since February 17, 2016PECOS Enrolled
92.93/100
CMS Quality Rating
61 WHITCHER ST, SUITE 2100, MARIETTA, GA 30060(770) 423-0595 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2020, Aug 15, 2018, Feb 17, 2016 (3 updates tracked since 2016).

About Laura Bordeu Pride Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA BORDEU PRIDE PA (NPI 1134588270) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (7889) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134588270
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA BORDEU PRIDECredential: PA
Location Address61 WHITCHER ST, SUITE 2100Marietta, GA 30060
Mailing Address100 Stoneforest Dr Ste 130Woodstock, GA 30189-4881 · (770) 423-0595 · Fax (678) 388-1627
Phone(770) 423-0595
Sole ProprietorYes
Enumeration DateFebruary 17, 2016
Last NPPES UpdateApril 22, 20203 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1134588270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 7889
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 7889 (GA)
61 WHITCHER ST, Marietta, GA 30060
Open in Google Maps ↗

Other Names 1

Former Name (1)Laura Logan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Bordeu Pride Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUARDO MONTANA JR. MD MPH
Pediatrics (Pediatric Cardiology)
61 WHITCHER ST, STE 4140
MARIETTA, GA 30060
Cobb County (404) 943-0289

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Pride's NPI number?

The NPI number for Laura Pride is 1134588270. It was assigned to this individual provider in the NPPES registry on February 17, 2016. The provider is also known as Laura Logan.

Where is Laura Pride located?

Laura Pride practices at 61 Whitcher St Suite 2100, Marietta, GA 30060. The listed phone number is (770) 423-0595.

What is Laura Pride's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Laura Pride enrolled in Medicare?

Yes. Laura Pride is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Pride was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.