LAURA LOUCKS PHD
NPI 1376035204
Psychologist in Atlanta, GA

Active since June 06, 2018PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
12 EXECUTIVE PARK DR NE STE 300, ATLANTA, GA 30329(404) 712-9788 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Laura Loucks Phd NPPES

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

LAURA LOUCKS PHD (NPI 1376035204) is an individual psychologist in Atlanta, Georgia, licensed in Georgia (PSY004189) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376035204
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLAURA LOUCKSCredential: PHD
Location Address12 EXECUTIVE PARK DR NE STE 300Atlanta, GA 30329-2206
Mailing Address2656 Peeler RdDunwoody, GA 30360-1904 · (404) 712-9788
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 6, 2018
✔ NPI 1376035204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in GA · PSY004189
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
12 EXECUTIVE PARK DR NE STE 300, Atlanta, GA 30329

Other Names 1

Former Name (1)Laura Loucks Bradbury

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 Loucks Phd 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 ID5193078004
PECOS Enrollment IDI20181023001737
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.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Psychologist
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Social Worker (Clinical)
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Psychologist
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 300, DEPARTMENT OF PSYCHIATRY
ATLANTA, GA 30329
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Social Worker (Clinical)
12 EXECUTIVE PARK DR NE STE 300
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 Laura Loucks's NPI number?

The NPI number for Laura Loucks is 1376035204. It was assigned to this individual provider in the NPPES registry on June 6, 2018. The provider is also known as Laura Loucks Bradbury.

Where is Laura Loucks located?

Laura Loucks practices at 12 Executive Park Dr NE Ste 300, Atlanta, GA 30329. The listed phone number is (404) 712-9788.

What is Laura Loucks's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Laura Loucks enrolled in Medicare?

Yes. Laura Loucks 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 Loucks was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.