Nancy Jane Geller Rudy, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DNV000014 Issued in GA

Practice address

5949 Buford Hwy
Norcross, GA 30071-2472

Phone

(678) 280-6630

NPI assigned

Jul 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6806/brand/1/csg/1/fhir/r4

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.

• Good Samaritan Health Center

  • Primary Care Clinic/Center
  • Norcross, GA
  • NPI 1255831293
  NPD (past)
• Good Samaritan Health Center of Gwinnett

  • Primary Care Clinic/Center
  • Norcross, GA
  • NPI 1316495021
  NPD (past)

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255854311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SPALDING CREEK CT",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303501176",
            "telephone_number": "404-771-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 BUFORD HWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712472",
            "telephone_number": "678-280-6630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 14th St NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303185408",
            "country_code": "US",
            "telephone_number": "404-881-1858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELLER RUDY",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DNV000014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidisha Gangidi, BCBA
• Brittany Samantha Garcia
• Thomas L Garvin, MD
• Gatx Network Services LLC
• Gci Voo Inc
• Genesis Healthcare Services, Inc
• Leonard Scott Genry, LMFT
• George L. Aubley M.D.,PC
• Georgia Behavioral Health LLC
• Georgia Center for Female Health LLC

• Dentist in Norcross, GA
• Providers in Norcross, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.