Active NPI
Sokar Sia Kendor, M.D.
- Pediatrics Physician
- Milledgeville, GA
National Provider Identifier
1245208339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 051486
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00960363A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051486 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Pediatrics | Pediatrics | Past | Accepting new patients |
| Navicent Health Baldwin, Inc | Past | Accepting new patients |
Interoperability endpoints
- sokar.kendor@kidsfirstpediatrics.gadirect.net
- https://epicproxy.et1326.epichosted.com/FHIRProxy/MHCC/api/FHIR/R4
- sokar.kendor@oconeeregional.gadirect.net
- sokar.kendor@nhb.gadirect.net
- 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.
-
- Pediatrics Physician
- Milledgeville, GA
- NPI 1467660167
-
- General Acute Care Hospital
- Milledgeville, GA
- NPI 1841701562
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.