LAUREL WILSON BRIGHAM – Physical Therapist, NPI 1053078519

LAUREL WILSON BRIGHAM is a healthcare provider. based in Lawrenceville, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT015676 (GA). The NPI Number for LAUREL WILSON BRIGHAM is 1053078519

Main info

Female
Accepts Medicare Assignment
Name
LAUREL WILSON BRIGHAM
NPI
1053078519
Phone
(678) 985-0238
Address
4825 Sugarloaf Pkwy Ste C
Enumeration Date
19 November 2021
Last Update Date
15 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703094308
Graduation Year
null (2026 years ago)
PAC ID
1557751567
Group Practice PAC ID
3779666185
Professional Enrollment ID
I20211207000692
Address ID
GA303182544AT857XXNWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for LAUREL WILSON BRIGHAM

  • 4825 Sugarloaf Pkwy Ste C

    Lawrenceville, GA 300448800

    Phone: (678) 985-0238

    Type: Location

  • 2515 Fence Rd Ste 160

    Dacula, GA 300192138

    Phone: (770) 237-2852

    Type: Location

  • 1111 Lower Fayetteville Rd Ste 2000

    Newnan, GA 302656506

    Phone: (770) 251-7284

    Type: Location

  • 4825 SUGARLOAF PKWY STE C

    LAWRENCEVILLE, GA 300448800

    Phone: (678) 985-0238

    Type: Location

  • 6397 LEE HWY

    CHATTANOOGA, TN 374212564

    Phone:

    Type: Mailing

  • 857 COLLIER RD NW STE 1

    ATLANTA, GA 303182544

    Phone: (404) 419-7760

    Fax: (844) 740-7760

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211207000692IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30044)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779666185View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

How is LAUREL WILSON BRIGHAM identified in CMS data?
CMS-hosted NPPES data lists LAUREL WILSON BRIGHAM with NPI 1053078519.
Is LAUREL WILSON BRIGHAM listed as active for patients and plans?
The listing shows LAUREL WILSON BRIGHAM as active in the NPI system.
What is LAUREL WILSON BRIGHAM's specialty?
The listing groups LAUREL WILSON BRIGHAM with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is LAUREL WILSON BRIGHAM based?
LAUREL WILSON BRIGHAM is tied to Lawrenceville, Georgia in the data we show; additional addresses may exist on the full record.
Why does LAUREL WILSON BRIGHAM have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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