Active NPI
Peter L Nagy, M.D.
- Molecular Genetic Pathology (Pathology) Physician
- Atlanta, GA
National Provider Identifier
1336137116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Molecular Genetic Pathology (Pathology) Physician
- License
- 75849
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A62035 | CA | MD | Molecular Genetic Pathology (Medical Genetics) Physician |
| 258379-1 | NY | MD | Molecular Genetic Pathology (Medical Genetics) Physician |
| 75849 | GA | MD | Molecular Genetic Pathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praxis Genomics LLC | Current | 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.
-
- Clinical Medical Laboratory
- Atlanta, GA
- NPI 1801483383
-
- Pediatric Pathology Physician
- North Bergen, NJ
- NPI 1437259322
Molecular Genetic Pathology
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.