Individual provider Active NPI

Jeri Susan Scandroli

  • Cytotechnology Specialist/Technologist
  • Atlanta, GA
National Provider Identifier
1063271765
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytotechnology Specialist/TechnologistTaxonomy code 246QC2700X
Practice address
3300 Buckeye Rd
Atlanta, GA 30341-4229
Phone
(770) 458-6101
Fax
(770) 455-4008
NPI assigned
Mar 15, 2024
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cytotechnology Specialist/Technologist 246QC2700X GA Primary

Addresses

Primary practice location

3300 Buckeye Rd
Atlanta, GA 30341-4229

Mailing address

PO Box 942388
Atlanta, GA 31141-2388
Phone (770) 458-6101

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

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1063271765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942388",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311412388",
            "telephone_number": "770-458-6101",
            "fax_number": "770-455-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BUCKEYE RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414229",
            "telephone_number": "770-458-6101",
            "fax_number": "770-455-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANDROLI",
        "first_name": "JERI",
        "middle_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QC2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Cytotechnology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.