Active NPI
Kevin Lee Delli-Gatti, MD FAAP
- Pediatrics Physician
- Thomaston, GA
National Provider Identifier
1114064540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 027529
- Practice address
- 403 W Gordon St
Thomaston, GA 30286 - Phone
- (706) 647-1680
- Fax
- (706) 646-3125
- NPI assigned
- Feb 1, 2007
- 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 | 027529 | GA | Primary |
Addresses
Primary practice location
403 W Gordon St
Thomaston, GA 30286
Mailing address
403 W Gordon St
Thomaston, GA 30286
Phone (706) 647-1680
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 |
|---|---|---|---|
| 027529 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomaston Pediatrics PC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114064540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 W GORDON ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "30286",
"telephone_number": "706-647-1680",
"fax_number": "706-646-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W GORDON ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "30286",
"telephone_number": "706-647-1680",
"fax_number": "706-646-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLI-GATTI",
"first_name": "KEVIN",
"middle_name": "LEE",
"credential": "MD FAAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "027529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomaston, 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.