Active NPI
Gina Marie Rizzo, CMT, NMT
- Specialist
- Fayetteville, GA
National Provider Identifier
1093875262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 110 - C Bastille Way
Fayetteville, GA 30214 - Phone
- (770) 719-2121
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | GA | Primary |
Addresses
Primary practice location
110 - C Bastille Way
Fayetteville, GA 30214
Mailing address
P.O.Box 143004
Fayetteville, GA 30214
Phone (770) 719-2121
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": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093875262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 143004",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "30214",
"telephone_number": "770-719-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 - C BASTILLE WAY",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "30214",
"telephone_number": "770-719-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "GINA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CMT, NMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, 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.