Active NPI
Elizabeth Jurgens, M.D.
- Pediatrics Physician
- Cumming, GA
National Provider Identifier
1194917005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 058044
- Practice address
- 1100 Northside Forsyth Dr
Suite 360
Cumming, GA 30041-6012 - Phone
- (770) 888-8888
- Fax
- (770) 888-4502
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 058044 | GA | Primary |
Addresses
Primary practice location
1100 Northside Forsyth Dr
Suite 360
Cumming, GA 30041-6012
Mailing address
1100 Northside Forsyth Dr
Suite 360
Cumming, GA 30041-6012
Phone (770) 888-8888
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058044 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1194917005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NORTHSIDE FORSYTH DR",
"address_2": "SUITE 360",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416012",
"telephone_number": "770-888-8888",
"fax_number": "770-888-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NORTHSIDE FORSYTH DR",
"address_2": "SUITE 360",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416012",
"telephone_number": "770-888-8888",
"fax_number": "770-888-4502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURGENS",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "058044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
- Joy in the Journey Counseling LLC
- Joy Personal Care Home
- Joy Therapy and Learning Center LLC
- Juncos Neuro Consulting, LLC
- Jorge Luis Juncos, M.D.
- Danielle Jurkovich, MSSW
- Kaiser Foundation Health Plan of Georgia Inc.
- Kaiser Foundation Health Plan of Georgia, Inc.
- Aman K Kakkar, MD
- Randolph H Kale, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.