Active NPI
Terri Michaela Traub Mann, MD
- Neonatal-Perinatal Medicine Physician
- Decatur, GA
National Provider Identifier
1174965552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 890099
- Practice address
- 2701 N Decatur Rd
Decatur, GA 30033-5918 - Phone
- (404) 501-1000
- NPI assigned
- Jul 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD044999 | DC | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 890099 | GA | Primary |
Addresses
Primary practice location
2701 N Decatur Rd
Decatur, GA 30033-5918
Mailing address
2701 N Decatur Rd
Decatur, GA 30033-5918
Phone (404) 501-1000
Other practice location 1
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-5000
Other practice location 2
4700 Waters Ave
Savannah, GA 31404-6220
Phone (478) 301-2531
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Terri_Traub@mednax.com | ||
| Direct Messaging Address | terri.traub@pediatrix.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230412002215 | GA | Order and Referring Only - Pediatric Medicine | 9234552209 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044999 | DC | MD | Pediatrics Physician |
| 890099 | GA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Medical Psych Unit | Past | Accepting new patients | |
| Pediatrix Medical Group of Georgia, P.C. | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Eastside Medical Center, LLC | Past | Accepting new patients | |
| Dekalb Medical Center, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- terri_traub@mednax.com
- ttraub695261@direct.hopkinsmedicine.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- Psychiatric Hospital Unit
- Decatur, GA
- NPI 1821099474
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1295827574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1174965552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335918",
"telephone_number": "404-501-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335918",
"telephone_number": "404-501-1000"
}
],
"practiceLocations": [
{
"address_1": "111 Michigan Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20010",
"country_code": "US",
"telephone_number": "202-476-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4700 Waters Ave",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314046220",
"country_code": "US",
"telephone_number": "478-301-2531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAUB MANN",
"first_name": "TERRI",
"middle_name": "MICHAELA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-25",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD044999",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "GA",
"license": "890099",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Terri_Traub@mednax.com",
"affiliation": "N",
"address_1": "2701 N Decatur Rd",
"city": "Decatur",
"state": "GA",
"country_code": "US",
"postal_code": "300335918",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "terri.traub@pediatrix.com",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "2701 N Decatur Rd",
"city": "Decatur",
"state": "GA",
"country_code": "US",
"postal_code": "300335918",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.