Individual provider Active NPI

Juan A Lama, MD

  • Pediatrics Physician
  • Stockbridge, GA
National Provider Identifier
1033110598
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
033380 Issued in GA
Practice address
150 Medical Blvd
Suite B
Stockbridge, GA 30281-5053
Phone
(770) 389-9944
Fax
(770) 389-1973
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 033380 GA Primary

Addresses

Primary practice location

150 Medical Blvd
Suite B
Stockbridge, GA 30281-5053

Mailing address

150 Medical Blvd
Suite B
Stockbridge, GA 30281-5053
Phone (770) 389-9944

Other identifiers 10

IdentifierTypeStateIssuer
055865OtherBCBS
274907OtherAETNA
7804OtherKAISER
S06119OtherSC HEALTHSOURCE
055865OtherFEP/BLUE CROSS BLUE SHIEL
581487734003OtherPRUCARE
0110001567OtherHEALTH SOURCE
0928045OtherAETNA SELECT/US HEALTHC
7804OtherKAISER POS
1202800OtherUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033380GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Crescent Pediatrics PC Pediatrics Past Accepting new patients
Southern Crescent Pediatrics PC Pediatrics Past Accepting new patients
Southern Crescent Pediatrics PC Pediatrics Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033110598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MEDICAL BLVD",
            "address_2": "SUITE B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815053",
            "telephone_number": "770-389-9944",
            "fax_number": "770-389-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MEDICAL BLVD",
            "address_2": "SUITE B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815053",
            "telephone_number": "770-389-9944",
            "fax_number": "770-389-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMA",
        "first_name": "JUAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "033380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "055865",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "274907",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "7804",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC HEALTHSOURCE",
            "identifier": "S06119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEP/BLUE CROSS BLUE SHIEL",
            "identifier": "055865",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRUCARE",
            "identifier": "581487734003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SOURCE",
            "identifier": "0110001567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA SELECT/US HEALTHC",
            "identifier": "0928045",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER POS",
            "identifier": "7804",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1202800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.