Individual provider Active NPI

Seema Bisht-Nadler, MD

  • Pediatrics Physician
  • Gainesville, GA
National Provider Identifier
1265430904
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
046361 Issued in GA
Practice address
3030 McEver Rd Ste 130
Gainesville, GA 30504-5538
Phone
(678) 450-0747
Fax
(678) 450-0779
NPI assigned
Jul 7, 2005
Reactivated
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 046361 GA Primary
Pediatrics Physician 208000000X 246361 GA
Specialist 174400000X 046361 GA

Addresses

Primary practice location

3030 McEver Rd Ste 130
Gainesville, GA 30504-5538

Mailing address

3030 McEver Rd Ste 130
Gainesville, GA 30504-5538
Phone (678) 450-0747

Other identifiers 2

IdentifierTypeStateIssuer
52821173OtherGABLUE CROSS/BLUE SHIELD
714506728AMedicaidGA

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
046361GAMDSpecialist
246361GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Willow Pediatrics Pediatrics PastSince Dec 8, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1265430904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 MCEVER RD STE 130",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045538",
            "telephone_number": "678-450-0747",
            "fax_number": "678-450-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 MCEVER RD STE 130",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045538",
            "telephone_number": "678-450-0747",
            "fax_number": "678-450-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHT-NADLER",
        "first_name": "SEEMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "046361",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "246361",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "046361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "52821173",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714506728A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.