1. Home
  2. Directory
  3. Georgia
  4. Fayetteville
  5. Physician Assistant
  6. NPI Profile

LAURA P BUSH P.A.
NPI 1174565022
Physician Assistant - Medical in Fayetteville, GA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
450 LANIER AVE WEST, FAYETTEVILLE, GA 30214(770) 460-8988(770) 460-0727 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura P Bush P.a. NPPES

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

LAURA P BUSH P.A. (NPI 1174565022) is an individual medical provider in Fayetteville, Georgia, licensed in Georgia (36378) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1174565022
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAURA P BUSHCredential: P.A.
Location Address450 LANIER AVE WESTFayetteville, GA 30214
Mailing Address450 Lanier Ave WestFayetteville, GA 30214 · (770) 460-8988 · Fax (770) 460-0727
Phone(770) 460-8988
Fax(770) 460-0727
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 15, 2019
✔ NPI 1174565022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 36378
450 LANIER AVE WEST, Fayetteville, GA 30214
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura P Bush P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224078688
PECOS Enrollment IDI20050505000497
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services28 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
18 services15 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
13 services11 patients

Other Providers at the Same Location NPPES 2

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

MRS. CHRISTINA SANDWICH PA-C
Physician Assistant
450 LANIER AVE WEST
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8988
JOAN S SANDERS P.A.-C
Physician Assistant
450 LANIER AVE WEST
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8988

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 Bush's NPI number?

The NPI number for Laura Bush is 1174565022. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Laura Bush located?

Laura Bush practices at 450 Lanier Ave West, Fayetteville, GA 30214. The listed phone number is (770) 460-8988.

What is Laura Bush's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Laura Bush enrolled in Medicare?

Yes. Laura Bush is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Laura Bush was last updated on March 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.