Organization Active NPI

North Georgia Diabetes and Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Cumming, GA
National Provider Identifier
1043414196
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
059025 Issued in GA
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

Updated by the provider on Aug 9, 2007

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

11585 Jones Bridge Rd
Ste 420127
Johns Creek, GA 30022

Interoperability endpoints

  • FHIR API: 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

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.

Verify at the official NPI Registry.