Active NPI
Roul R. Sircar M.D., P.C.
- Internal Medicine Physician
- Acworth, GA
National Provider Identifier
1215107016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.