LAUREN DUFOUR BLOOM MD
NPI 1144761420
Pediatrics - Pediatric Gastroenterology in Atlanta, GA

Active since March 20, 2017PECOS Enrolled
1400 TULLIE RD NE, ATLANTA, GA 30329(404) 778-1440 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2023, Oct 7, 2021, Mar 20, 2017 (3 updates tracked since 2017).

About Lauren Dufour Bloom Md NPPES

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

LAUREN DUFOUR BLOOM MD (NPI 1144761420) is an individual pediatric gastroenterology provider in Atlanta, Georgia, licensed in Georgia (85330) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144761420
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameLAUREN DUFOUR BLOOMCredential: MD
Location Address1400 TULLIE RD NEAtlanta, GA 30329-2309
Mailing Address1400 Tullie Rd NeAtlanta, GA 30329-2309 · (404) 785-3020
Sole ProprietorNo
Enumeration DateMarch 20, 2017
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
NPI 1144761420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in GA · 85330
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

1400 TULLIE RD NE, Atlanta, GA 30329

Other Identifiers 1

Medicaid003235149AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lauren Dufour Bloom Md 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 30329 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
1400 TULLIE RD NE
ATLANTA, GA 30329
Dietitian, Registered
1400 TULLIE RD NE
ATLANTA, GA 30329
Speech-Language Pathologist
1400 TULLIE RD NE
ATLANTA, GA 30329
Nurse Practitioner (Pediatrics)
1400 TULLIE RD NE
ATLANTA, GA 30329
Nurse Practitioner (Pediatrics)
1400 TULLIE RD NE
ATLANTA, GA 30329
Nurse Practitioner (Neonatal)
1400 TULLIE RD NE
ATLANTA, GA 30329
Pediatrics (Pediatric Gastroenterology)
1400 TULLIE RD NE
ATLANTA, GA 30329
Dietitian, Registered
1400 TULLIE RD NE
ATLANTA, GA 30329

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 Lauren Bloom's NPI number?

The NPI number for Lauren Bloom is 1144761420. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Lauren Bloom located?

Lauren Bloom practices at 1400 Tullie Rd NE, Atlanta, GA 30329. The listed phone number is (404) 778-1440.

What is Lauren Bloom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Lauren Bloom enrolled in Medicare?

Yes. Lauren Bloom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Bloom was last updated on December 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.