Individual provider Active NPI

Sokar Sia Kendor, M.D.

  • Pediatrics Physician
  • Milledgeville, GA
National Provider Identifier
1245208339
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
051486 Issued in GA
Practice address
530 North Cobb Street
Milledgeville, GA 31061-2635
Phone
(478) 453-1020
Fax
(478) 453-1093
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 051486 GA Primary

Addresses

Primary practice location

530 North Cobb Street
Milledgeville, GA 31061-2635

Mailing address

530 North Cobb Street
Milledgeville, GA 31061-2635
Phone (478) 453-1020

Other identifiers 1

IdentifierTypeStateIssuer
00960363AMedicaidGA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
051486GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Pediatrics Pediatrics Past Accepting new patients
Navicent Health Baldwin, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sokar.kendor@kidsfirstpediatrics.gadirect.net
  • FHIR API: https://epicproxy.et1326.epichosted.com/FHIRProxy/MHCC/api/FHIR/R4
  • Direct secure messaging: sokar.kendor@oconeeregional.gadirect.net
  • Direct secure messaging: sokar.kendor@nhb.gadirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAHDAA/Endpoint/CAHDAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1245208339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NORTH COBB STREET",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612635",
            "telephone_number": "478-453-1020",
            "fax_number": "478-453-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NORTH COBB STREET",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612635",
            "telephone_number": "478-453-1020",
            "fax_number": "478-453-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDOR",
        "first_name": "SOKAR",
        "middle_name": "SIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "051486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00960363A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.