Individual provider Active NPI

Roxann Dooling, CPT, CCMA, CMA, CNA

  • Phlebotomy Technician
  • Lithonia, GA
National Provider Identifier
1063266419
Registry record updated Apr 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
Y2G4R9Z4 Issued in FL
Practice address
8170 Mall Pkwy # 1173
Lithonia, GA 30038-2545
Phone
(770) 762-6019
NPI assigned
Apr 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X Y2G4R9Z4 FL Primary

Addresses

Primary practice location

8170 Mall Pkwy # 1173
Lithonia, GA 30038-2545

Mailing address

8170 Mall Pkwy # 1173
Lithonia, GA 30038-2545
Phone (770) 762-6019

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
Certified Medical Assistant

State licenses

LicenseStateTypeSpecialty
Y2G4R9Z4FLMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
The Diamond of Home Care LLC Current Accepting new patients
Blood Diamond Mobile Laboratory LLC Phlebotomy Current Accepting new patients

Locations

8170 Mall Pkwy
Stonecrest, GA 30038
Phone (404) 291-1787

Organizations & group practices 2

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": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1063266419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MALL PKWY # 1173",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382545",
            "telephone_number": "770-762-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 MALL PKWY # 1173",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382545",
            "telephone_number": "770-762-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLING",
        "first_name": "ROXANN",
        "credential": "CPT, CCMA, CMA, CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "Y2G4R9Z4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; 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.