Active NPI
North Georgia Diabetes and Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Cumming, GA
National Provider Identifier
1043414196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 059025
- Legal business name
- NORTH GEORGIA DIABETES AND ENDOCRINOLOGY
- Practice address
- 1505 Northside Blvd
Suite 2800
Cumming, GA 30041 - Phone
- (678) 749-2131
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Geetha Reddy Soodini, MD
- Title
- Physician
- Phone
- (678) 749-2131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 059025 | GA | Primary |
Addresses
Primary practice location
1505 Northside Blvd
Suite 2800
Cumming, GA 30041
Mailing address
11585 Jones Bridge Rd
Suite 420-127
Alpharetta, GA 30022-8129
National Provider Directory
National Provider DirectoryLocations
11585 Jones Bridge Rd
Ste 420127
Johns Creek, GA 30022
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BCIDAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186617600000",
"number": "1043414196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11585 JONES BRIDGE RD",
"address_2": "SUITE 420-127",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300228129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 NORTHSIDE BLVD",
"address_2": "SUITE 2800",
"city": "CUMMING",
"state": "GA",
"postal_code": "30041",
"telephone_number": "678-749-2131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH GEORGIA DIABETES AND ENDOCRINOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2007-08-09",
"status": "A",
"authorized_official_last_name": "SOODINI",
"authorized_official_first_name": "GEETHA",
"authorized_official_middle_name": "REDDY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "678-749-2131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "059025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
- North Ga Institute for Wound Care, LLC
- North Georgia Autism Center, Inc
- North Georgia Center for Hyperbaric Medicine and Wound Care , LLC
- North Georgia Children'S Center, Inc.
- North Georgia Counseling Group, LLC
- North Georgia Hand Therapy, LLC
- North Georgia Homecare Services, LLC
- North Georgia Medical Solutions Corp.
- North Georgia Orthopaedic Center
- North Georgia Pathology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.