LAURA P BUSH (P.A.) – Medical Physician Assistant, NPI 1174565022
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for LAURA P BUSH (P.A.)
Heartis Fayetteville, West Lanier Avenue, Deep Forest, Fayetteville, Fayette County, Georgia, 30214, United States
FAYETTEVILLE, GA 30214
Phone: (770) 460-8988
Fax: (770) 460-0727
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 513 Open Payments records for all available years, with a total value of $71,457.
Total Amount is formed as General ($71,457) + Research ($0) + Ownership ($0) = $71,457.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Janssen Biotech, Inc. ($23,575).
Total Amount
$71,457
General + Research + Ownership
Payments
513
Total payment records
General Amount
$71,457
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $23,575 |
| Arcutis Biotherapeutics, Inc. | $11,001 |
| Dermavant Sciences, Inc. | $8,148 |
| E.R. Squibb & Sons, L.L.C. | $5,118 |
| Novartis Pharmaceuticals Corporation | $4,452 |
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: 2005-05-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050505000497 | I | Physician Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 75 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 23 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 19 | 17 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 19 | 15 | $0 |
Insurance plans in this area (ZIP 30214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| D E R M A T O L O G Y | MD | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | FL |
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