Active NPI
Peter Bell, PHYSICIAN ASSISTANT
- Physician Assistant
- Decatur, GA
National Provider Identifier
1174972459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007333
- Practice address
- 2946 Clifton Springs Rd
Decatur, GA 30034-3820 - Phone
- (404) 328-1505
- Fax
- (404) 212-4217
- NPI assigned
- Jun 8, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007333 | GA | Primary |
Addresses
Primary practice location
2946 Clifton Springs Rd
Decatur, GA 30034-3820
Mailing address
2946 Clifton Springs Rd
Decatur, GA 30034-3820
Phone (404) 328-1505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007333 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1174972459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2946 CLIFTON SPRINGS RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300343820",
"telephone_number": "404-328-1505",
"fax_number": "404-212-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2946 CLIFTON SPRINGS RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300343820",
"telephone_number": "404-328-1505",
"fax_number": "404-212-4217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "PETER",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "007333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.