Active NPI
Roger Bruce Bessey, MD
- Pediatrics Physician
- Cumming, GA
National Provider Identifier
1063511673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 026063
- Practice address
- 1100 Northside Forsyth Drive
Suite 360
Cumming, GA 30041 - Phone
- (770) 888-8888
- Fax
- (770) 888-4502
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 026063 | GA | Primary |
Addresses
Primary practice location
1100 Northside Forsyth Drive
Suite 360
Cumming, GA 30041
Mailing address
1100 Northside Forsyth Drive
Suite 360
Cumming, GA 30041
Phone (770) 888-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026063 | Other | GA | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 026063 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Pediatric Partners, Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Lilburn, GA
- NPI 1528469426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063511673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NORTHSIDE FORSYTH DRIVE",
"address_2": "SUITE 360",
"city": "CUMMING",
"state": "GA",
"postal_code": "30041",
"telephone_number": "770-888-8888",
"fax_number": "770-888-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NORTHSIDE FORSYTH DRIVE",
"address_2": "SUITE 360",
"city": "CUMMING",
"state": "GA",
"postal_code": "30041",
"telephone_number": "770-888-8888",
"fax_number": "770-888-4502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESSEY",
"first_name": "ROGER",
"middle_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "026063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "026063",
"state": "GA"
}
],
"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 Jul 8, 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.