Nicholas a Pietrzak, MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

044308 Issued in GA

Legal business name

NICHOLAS A PIETRZAK, MD, LLC

Practice address

3951 Ridge Ave
Ste B
Macon, GA 31210-5050

Phone

(478) 757-1934

Fax

(478) 757-1596

NPI assigned

Jun 11, 2007

Last updated

Jun 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Cook

Title

Office Administrator

Phone

(478) 757-1934

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JAICAA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyler Kael Crews, NP

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1639796501
  Medicare reassignment NPD
• Mary Rose Evans, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1740073162
  Medicare reassignment NPD
• Amanda J Harmon, NP

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1518372937
  Medicare reassignment NPD
• Nicholas A Pietrzak II, MD

  • Family Medicine Physician
  • Macon, GA
  • NPI 1790792034
  Medicare reassignment NPD

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1285837716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 RIDGE AVE",
            "address_2": "STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105050",
            "telephone_number": "478-757-1934",
            "fax_number": "478-757-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 RIDGE AVE",
            "address_2": "STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105050",
            "telephone_number": "478-757-1934",
            "fax_number": "478-757-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS A PIETRZAK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "478-757-1934",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "044308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00834413D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Phuong Nguyen
• Kevin Nguyen
• Mariana Thuyen Nguyen, NP
• Thao Ngoc Nguyen
• Theresa Nguyen, PHARMD
• Margaret Mary Nichols, M.D.
• Robert Alexander Nichols, RN
• Rachel Catherine Nissen-Uphouse, MD
• Gena Nixon-Mefford
• Ifeoma Njoku, MD

• Family Medicine Physician in Macon, GA
• Providers in Macon, 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 Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.