Individual provider Active NPI

Karolina Anna Pelt, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodstock, GA
National Provider Identifier
1255723763
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN014986 Issued in GA
Practice address
7824 Hickory Flat Hwy Ste 120
Woodstock, GA 30188-6575
Phone
(404) 383-4004
NPI assigned
Feb 21, 2015
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN014986 GA Primary

Addresses

Primary practice location

7824 Hickory Flat Hwy Ste 120
Woodstock, GA 30188-6575

Mailing address

7824 Hickory Flat Hwy Ste 120
Woodstock, GA 30188-6575
Phone (404) 383-4004

Other practice location 1

2695 Old Winder Hwy Ste 100
Braselton, GA 30517-6100
Phone (678) 879-3006

Other practice location 2

4395 Johns Creek Pkwy Ste 100
Suwanee, GA 30024-6126
Phone (770) 622-1177

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

State licenses

LicenseStateTypeSpecialty
DN014986GAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Peach Orthodontics, LLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

7824 Hickory Flat Hwy
Ste 120
Woodstock, GA 30188
Phone (404) 383-4004

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1255723763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7824 HICKORY FLAT HWY STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886575",
            "telephone_number": "404-383-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7824 HICKORY FLAT HWY STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886575",
            "telephone_number": "404-383-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2695 Old Winder Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305176100",
            "country_code": "US",
            "telephone_number": "678-879-3006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4395 Johns Creek Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246126",
            "country_code": "US",
            "telephone_number": "770-622-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELT",
        "first_name": "KAROLINA",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-21",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN014986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.