Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laura P Bush, PA

Individual provider Medical Physician Assistant · NPI 1174565022

Laura P Bush, PA is a Physician Assistant in Fayetteville, Georgia. Qualified in 1991, 35 years ago. Practices with James T Sandwich MD PC, a 6-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
35
Licensed in
GA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

450 Lanier Ave W
Fayetteville, GA 30214
Phone: (770) 460-8988
Fax: (770) 460-0727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 36378 (GA)

Record details

NPI number1174565022
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESMarch 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice James T Sandwich Md Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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