Individual provider Active NPI

Alan Harvey Kramer, M.D.

  • Rheumatology Physician
  • Suwanee, GA
National Provider Identifier
1144216656
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
058054 Issued in GA
Practice address
3340 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone
(678) 679-6210
Fax
(678) 679-6220
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036721 FL
Rheumatology Physician 207RR0500X 058054 GA Primary

Addresses

Primary practice location

3340 Paddocks Pkwy
Suwanee, GA 30024-9119

Mailing address

3350 Paddock Pkwy
Suwanee, GA 30024-9119
Phone (678) 679-6210

Other identifiers 1

IdentifierTypeStateIssuer
50975OtherMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alan.kramer@jcsc.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000372 GA Practitioner - Rheumatology 3072691518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036721FLMDRheumatology Physician
058054GAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services,LLC Current Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Nov 1, 2011 Accepting new patients

Locations

1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587

3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

3340 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Interoperability endpoints

  • Direct secure messaging: alan.kramer@jcsc.eclinicaldirectplus.com

Organizations & group practices 2

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1144216656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 PADDOCK PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249119",
            "telephone_number": "678-679-6210",
            "fax_number": "678-679-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PADDOCKS PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249119",
            "telephone_number": "678-679-6210",
            "fax_number": "678-679-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "ALAN",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "036721",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "058054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "50975",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alan.kramer@jcsc.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "3340 Paddocks Pkwy",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300249119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.