Organization Active NPI

Roul R. Sircar M.D., P.C.

  • Internal Medicine Physician
  • Acworth, GA
National Provider Identifier
1215107016
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROUL R. SIRCAR M.D., P.C.
Practice address
4450 Calibre Xing NW
Suite 1224
Acworth, GA 30101-4103
Phone
(770) 974-6550
Fax
(770) 974-6551
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Roul R Sircar, M.D.
Title
Presedent
Phone
(678) 232-0682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4450 Calibre Xing NW
Suite 1224
Acworth, GA 30101-4103

Mailing address

4450 Calibre Xing NW
Suite 1224
Acworth, GA 30101-4103
Phone (770) 974-6550

National Provider Directory

National Provider Directory

Locations

4450 Calibre Xing NW
Ste 1224
Acworth, GA 30101
Phone (770) 974-6550

100 Stoneforest Dr
Ste 220
Woodstock, GA 30189
Phone (770) 924-0096

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1215107016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE XING NW",
            "address_2": "SUITE 1224",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014103",
            "telephone_number": "770-974-6550",
            "fax_number": "770-974-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE XING NW",
            "address_2": "SUITE 1224",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014103",
            "telephone_number": "770-974-6550",
            "fax_number": "770-974-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUL R. SIRCAR M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "SIRCAR",
        "authorized_official_first_name": "ROUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "678-232-0682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.