St Luke Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45753 Issued in GA

Legal business name

ST LUKE MEDICAL CENTER INC

Practice address

1631 Atlanta Rd
Gainesville, GA 30504-5942

Phone

(770) 718-1517

Fax

(770) 718-1518

NPI assigned

Nov 21, 2017

Organization subpart

No

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

Authorized official

Name

Carlos Solsona, MD

Title

Owner

Phone

(770) 718-1517

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1275047771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ATLANTA RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045942",
            "telephone_number": "770-718-1517",
            "fax_number": "770-718-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 ATLANTA RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045942",
            "telephone_number": "770-718-1517",
            "fax_number": "770-718-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "SOLSONA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-718-1517",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "45753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "45753",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "19606",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Springfield, DO
• Lauren Avery Sprouse, AA
• Sr Medical Transport
• Chitra Srinivasan
• Hemant Srivastava, MD
• Karen V Stabler, P.A.
• Christopher Austin Staley, DO
• Maya Stamboliyska, M.D.
• Samantha Stamey, NP-C
• Ellen Patton Stanaway, FNP-C

• Family Medicine Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.