NPIMap

Organization Active NPI

Sandy Springs Pediatrics and Adolescent Medicine

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1083820765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SANDY SPRINGS PEDIATRICS AND ADOLESCENT MEDICINE
Practice address
993 Johnson Ferry Rd NE # F
Ste 370
Atlanta, GA 30342-1620
Phone
(404) 252-4611
Fax
(404) 256-1759
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kristy Lockert
Title
Office Manager
Phone
(404) 252-4611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

993 Johnson Ferry Rd NE # F
Ste 370
Atlanta, GA 30342-1620

Mailing address

993 Johnson Ferry Rd NE # F
Ste 370
Atlanta, GA 30342-1620
Phone (404) 252-4611

National Provider Directory

National Provider Directory

Locations

993 Johnson Ferry Rd
Ste F370
Sandy Springs, GA 30342
Phone (404) 252-4611

250 Parkbrooke Pl
Ste 200
Woodstock, GA 30189
Phone (470) 336-6097

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1749

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083820765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE # F",
            "address_2": "STE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421620",
            "telephone_number": "404-252-4611",
            "fax_number": "404-256-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE # F",
            "address_2": "STE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421620",
            "telephone_number": "404-252-4611",
            "fax_number": "404-256-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY SPRINGS PEDIATRICS AND ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOCKERT",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-252-4611"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "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 Aug 22, 2020; 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.