Individual provider Active NPI

Keren Zohar Landman, M.D.

  • Infectious Disease Physician
  • Stockbridge, GA
National Provider Identifier
1174535629
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
072958 Issued in GA
Practice address
1510 Hudson Bridge Rd
C/O Children'S Healthcare of Atla
Stockbridge, GA 30281-5020
Phone
(404) 785-8660
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 072958 GA Primary
Internal Medicine Physician 207R00000X 072958 GA
Pediatrics Physician 208000000X 072958 GA

Addresses

Primary practice location

1510 Hudson Bridge Rd
C/O Children'S Healthcare of Atla
Stockbridge, GA 30281-5020

Mailing address

1510 Hudson Bridge Rd
C/O Children'S Healthcare of Atla
Stockbridge, GA 30281-5020
Phone (404) 785-8660

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
I20190517001253 GA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7315280187

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1174535629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 HUDSON BRIDGE RD",
            "address_2": "C/O CHILDREN'S HEALTHCARE OF ATLA",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815020",
            "telephone_number": "404-785-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 HUDSON BRIDGE RD",
            "address_2": "C/O CHILDREN'S HEALTHCARE OF ATLA",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815020",
            "telephone_number": "404-785-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDMAN",
        "first_name": "KEREN",
        "middle_name": "ZOHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "072958",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "072958",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "072958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.