Lidya Pacheco-Carpenter

Primary specialty

ContractorTaxonomy code 171W00000X

License

MT007965 Issued in GA

Practice address

3161 Howell Mill Rd NW
Suite 330
Atlanta, GA 30327-2135

Phone

(404) 351-5812

NPI assigned

Dec 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Atlanta Orthopaedic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1093063083
  NPD (past)
• Orthopaedic & Spine Surgery of Atlanta

  • Medical Specialty Clinic/Center
  • Atlanta, GA
  • NPI 1497954093
  NPD (past)

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1154729911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 HOWELL MILL RD NW",
            "address_2": "SUITE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272135",
            "telephone_number": "404-351-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 HOWELL MILL RD NW",
            "address_2": "SUITE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272135",
            "telephone_number": "404-351-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO-CARPENTER",
        "first_name": "LIDYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "MT007965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paces Anesthesia Accociates, LLC
• Paces Ferry Health LLC
• Paces Ferry Medical Group PC
• Paces Plastic Surgery, Inc.
• Paces Surgical LLCC
• Sean Christopher Pacheco, PA-C
• Pacific Coast Medical Group Company
• Pacific Health Solutions, Inc.
• Roberto Pacifici, M.D.
• Colin Packard

• All providers in Atlanta, GA
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.