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MRS. LAUREN CHELSIE CUMMINGS FNP
NPI 1457104754
Nurse Practitioner - Family in Dalton, GA

Active since April 08, 2024PECOS Enrolled
1504 N THORNTON AVE STE 107, DALTON, GA 30720(706) 278-0138 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2024, Apr 8, 2024 (2 updates tracked since 2024).

About Mrs. Lauren Chelsie Cummings Fnp NPPES

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

MRS. LAUREN CHELSIE CUMMINGS FNP (NPI 1457104754) is an individual family provider in Dalton, Georgia, licensed in Georgia (RN249313) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457104754
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LAUREN CHELSIE CUMMINGSCredential: FNP
Location Address1504 N THORNTON AVE STE 107Dalton, GA 30720-8394
Mailing Address1275 Brookstone CirDalton, GA 30721-5177 · (706) 934-4461
Phone(706) 278-0138
Sole ProprietorNo
Enumeration DateApril 8, 2024
Last NPPES UpdateMay 9, 20242 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1457104754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN249313
1504 N THORNTON AVE STE 107, Dalton, GA 30720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lauren Chelsie Cummings Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Lauren Cummings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Medical Group, P.C.
66 mi
Family Medicine
3905 BROOKSIDE PKWY STE 300
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 240 clinicians in this Medicare group
NPI 1235296054 (770) 442-1911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 3

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

JOHN D RICHMOND MD
Internal Medicine (Nephrology)
1504 N THORNTON AVE STE 107
DALTON, GA 30720
Whitfield County (706) 278-0138
JOHN S ANTALIS M.D.
Family Medicine
1504 N THORNTON AVE STE 107
DALTON, GA 30720
Whitfield County (067) 278-0138
MR. DEREK HELDZINGER M.D.
Family Medicine
1504 N THORNTON AVE STE 107
DALTON, GA 30720
Whitfield County (706) 226-1565

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 Cummings's NPI number?

The NPI number for Lauren Cummings is 1457104754. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Lauren Cummings located?

Lauren Cummings practices at 1504 N Thornton Ave Ste 107, Dalton, GA 30720. The listed phone number is (706) 278-0138.

What is Lauren Cummings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lauren Cummings enrolled in Medicare?

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

Which organization bills Medicare for Lauren Cummings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Cummings reassigns Medicare benefits to Southeast Medical Group, P.C. (Alpharetta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Cummings accept?

Health plans from Alliant Health Plans, Inc. list Lauren Cummings as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lauren Cummings was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.