Organization Active NPI

John Straetmans MD PC

  • Psychiatry Physician
  • Alpharetta, GA
National Provider Identifier
1225400401
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
36019 Issued in GA
Legal business name
JOHN STRAETMANS MD PC
Practice address
294 S Main St
Suite 200
Alpharetta, GA 30009-7918
Phone
(770) 754-5555
Fax
(770) 754-5511
NPI assigned
Oct 27, 2015
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Mrs. Mary Louise Straetmans
Title
Owner
Phone
(770) 754-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 36019 GA Primary

Addresses

Primary practice location

294 S Main St
Suite 200
Alpharetta, GA 30009-7918

Mailing address

294 S Main St
Suite 200
Alpharetta, GA 30009-7918
Phone (770) 754-5555

Other identifiers 1

IdentifierTypeStateIssuer
26BDGGWOtherGACMS PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151106000351 GA Part B Supplier - Clinic/Group Practice 6406166271 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

294 S Main St
Ste 200
Alpharetta, GA 30009
Phone (770) 754-5555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1225400401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097918",
            "telephone_number": "770-754-5555",
            "fax_number": "770-754-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097918",
            "telephone_number": "770-754-5555",
            "fax_number": "770-754-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN STRAETMANS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "STRAETMANS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-754-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "36019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS PTAN",
            "identifier": "26BDGGW",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.