MISS LAURA ANDRAYA WAY (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366131401

MISS LAURA ANDRAYA WAY (PMHNP) is a healthcare provider. based in Tifton, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN279466 (GA). The NPI Number for MISS LAURA ANDRAYA WAY (PMHNP) is 1366131401

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MISS LAURA ANDRAYA WAY (PMHNP)
NPI
1366131401
Phone
(229) 326-9557
Address
4120 MIDLAND AVE
Enumeration Date
4 May 2023
Last Update Date
4 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292442030
Graduation Year
2022 (4 years ago)
PAC ID
7416308390
Group Practice PAC ID
9335326941
Professional Enrollment ID
I20240104001950
Address ID
GA316051066VA3312XEXTX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MISS LAURA ANDRAYA WAY (PMHNP)

  • 4120 MIDLAND AVE

    TIFTON, GA 317946149

    Phone: (229) 326-9557

    Type: Mailing

  • 3312 N OAK STREET EXT BLDG D

    VALDOSTA, GA 316051066

    Phone: (229) 244-2030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 111 Open Payments records for all available years, with a total value of $2,374.

Total Amount is formed as General ($2,374) + Research ($0) + Ownership ($0) = $2,374.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($375).

Total Amount

$2,374

General + Research + Ownership

Payments

111

Total payment records

General Amount

$2,374

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-04

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
I20240104001950INurse 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.

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

Insurance plans in this area (ZIP 31794)

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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: 9335326941View full group profile
NameSpecialtyState
-GA
-GA
Clinical Social WorkerGA
Clinical Social WorkerGA
Clinical Social WorkerGA
Marriage And Family TherapistGA
P S Y C H I A T R YGA
Clinical Social WorkerGA
Clinical Social WorkerGA
P S Y C H I A T R YGA

Reviews

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Frequently asked questions

What is the registry number for MISS LAURA ANDRAYA WAY (PMHNP)?
The registry entry for MISS LAURA ANDRAYA WAY (PMHNP) shows NPI 1366131401.
Should I treat MISS LAURA ANDRAYA WAY (PMHNP) as an active provider?
Patients and plans typically see MISS LAURA ANDRAYA WAY (PMHNP) as active in the national extract.
What does the directory say MISS LAURA ANDRAYA WAY (PMHNP) does?
Insurance directories may phrase it differently, but here MISS LAURA ANDRAYA WAY (PMHNP) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MISS LAURA ANDRAYA WAY (PMHNP)?
The directory associates MISS LAURA ANDRAYA WAY (PMHNP) with Tifton, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains MISS LAURA ANDRAYA WAY (PMHNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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