NPIMap

Organization Active NPI

Endocrine & Diabetes Consultants, PC

  • Specialist
  • Stockbridge, GA
National Provider Identifier
1104884220
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ENDOCRINE & DIABETES CONSULTANTS, PC
Practice address
226 Willis Dr
Stockbridge, GA 30281-7272
Phone
(770) 389-0200
Fax
(770) 474-1570
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Mrs. Shyama K Naidu, MA
Title
Administrator
Phone
(770) 389-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

226 Willis Dr
Stockbridge, GA 30281-7272

Mailing address

226 Willis Dr
Stockbridge, GA 30281-7272
Phone (770) 389-0200

Other names 1

  • Subra K. Naidu, MD, PC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1104884220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 WILLIS DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817272",
            "telephone_number": "770-389-0200",
            "fax_number": "770-474-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 WILLIS DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817272",
            "telephone_number": "770-389-0200",
            "fax_number": "770-474-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE & DIABETES CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "NAIDU",
        "authorized_official_first_name": "SHYAMA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-389-0200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Subra K. Naidu, MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.