LAURA ELLIOTT (NP) – Gerontology Nurse Practitioner, NPI 1063022481

LAURA ELLIOTT (NP) is a healthcare provider. based in Marietta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN264851 (GA). The NPI Number for LAURA ELLIOTT (NP) is 1063022481

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
LAURA ELLIOTT (NP)
NPI
1063022481
Phone
(770) 793-9560
Address
677 CHURCH ST NE
Enumeration Date
1 August 2020
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783697755
Graduation Year
2021 (5 years ago)
PAC ID
8628468600
Group Practice PAC ID
1850644394
Professional Enrollment ID
I20211206002475
Address ID
GA301446732KE3895XNWXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for LAURA ELLIOTT (NP)

  • 677 CHURCH ST NE

    MARIETTA, GA 300601101

    Phone: (770) 793-9560

    Type: Mailing

  • 3895 CHEROKEE ST NW STE 400

    KENNESAW, GA 301446732

    Phone: (678) 369-7755

    Fax: (415) 252-7176

    Type: Mailing

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: 2021-12-06

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
I20211206002475INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12890$0
99213Established patient office or other outpatient visit, 20-29 minutes5242$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 1850644394View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MA
Internal MedicineGA
Mental Health CounselorGA
Nurse PractitionerGA
Family PracticeIL
Nurse PractitionerSC
Internal Medicine, Geriatric MedicineGA
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Can I verify LAURA ELLIOTT (NP) with an NPI only?
You can start verification with NPI 1063022481 for LAURA ELLIOTT (NP), then check state licensing separately.
Can I rely on LAURA ELLIOTT (NP) being an active provider?
As of the registry snapshot, LAURA ELLIOTT (NP) is marked active.
What healthcare role does LAURA ELLIOTT (NP) hold?
Scheduling teams often label LAURA ELLIOTT (NP) under Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for LAURA ELLIOTT (NP)?
LAURA ELLIOTT (NP)'s geographic hint is Marietta, Georgia in our summary view.
Is the information about LAURA ELLIOTT (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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