Richard B Colditz, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

010893 Issued in GA

Practice address

150 Henry Burson Dr., Ste. # 215
Carrollton, GA 30117

Phone

(770) 214-2121

Fax

(770) 214-2124

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Tanner Medical Group Inc

  • Cardiovascular Disease Physician
  • Carrollton, GA
  • NPI 1396979787
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1083644199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HENRY BURSON DR., STE. # 215",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-214-2121",
            "fax_number": "770-214-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HENRY BURSON DR., STE. # 215",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-214-2121",
            "fax_number": "770-214-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDITZ",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "010893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009215B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Christine Cobb, PA-C
• Melissa Florine Cochran, LPC
• Gerry Cofield
• Monica Renee Cofield
• Caroline G Colden, MD
• Marilyn Joy Coleman, M.D.
• Whitney Maria Collett, CRNA
• Anthony Colpini, MD
• Jenna Renee Combs, NP
• Communication Partners, Inc.

• Gynecology Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.