Individual provider Active NPI

Peter L Nagy, M.D.

  • Molecular Genetic Pathology (Pathology) Physician
  • Atlanta, GA
National Provider Identifier
1336137116
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X
License
75849 Issued in GA
Practice address
6115 Peachtree Dunwoody Rd Ste 220
Atlanta, GA 30328-5684
Phone
(678) 837-4022
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Molecular Genetic Pathology (Medical Genetics) Physician 207SM0001X 258379-1 NY
Molecular Genetic Pathology (Medical Genetics) Physician 207SM0001X A62035 CA
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X 35596 IA
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X 258379 NY
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X 75849 GA Primary

Addresses

Primary practice location

6115 Peachtree Dunwoody Rd Ste 220
Atlanta, GA 30328-5684

Mailing address

6115 Peachtree Dunwoody Rd Ste 220
Atlanta, GA 30328-5684
Phone (678) 837-4022

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A62035CAMDMolecular Genetic Pathology (Medical Genetics) Physician
258379-1NYMDMolecular Genetic Pathology (Medical Genetics) Physician
75849GAMDMolecular Genetic Pathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Genomics LLC CurrentSince Aug 20, 2019 Accepting new patients
Trustees of Columbia University at Palisades Medical Center Molecular Genetic Pathology Past Accepting new patients

Locations

6115 Peachtree Dunwoody Rd
Ste 220
Sandy Springs, GA 30328
Phone (678) 837-4022

Organizations & group practices 2

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1336137116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 PEACHTREE DUNWOODY RD STE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285684",
            "telephone_number": "678-837-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 PEACHTREE DUNWOODY RD STE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285684",
            "telephone_number": "678-837-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGY",
        "first_name": "PETER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SM0001X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": "NY",
            "license": "258379-1",
            "primary": false
        },
        {
            "code": "207SM0001X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": "CA",
            "license": "A62035",
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "IA",
            "license": "35596",
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "NY",
            "license": "258379",
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "GA",
            "license": "75849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.