Active NPI
Gyula Soos, M.D.
- Pediatrics Physician
- Dublin, GA
National Provider Identifier
1366448904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 049093
- Practice address
- 102 Bowling Lane
Dublin, GA 31021 - Phone
- (478) 272-0203
- Fax
- (478) 272-0223
- NPI assigned
- Jun 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 049093 | GA | Primary |
Addresses
Primary practice location
102 Bowling Lane
Dublin, GA 31021
Mailing address
102 Bowling Lane
Dublin, GA 31021
Phone (478) 272-0203
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000906529E | Medicaid | GA | |
| 000906529D | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049093 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The After Owls Pediatric Care,LLC | Pediatrics | Past | Accepting new patients |
| Fairview Park, Limited Partnership | Past | Accepting new patients | |
| Dr.Soos Pediatrics, PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Dublin, GA
- NPI 1851676589
-
- General Acute Care Hospital
- Dublin, GA
- NPI 1285688234
-
- Pediatrics Physician
- Dublin, GA
- NPI 1972880995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1366448904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BOWLING LANE",
"city": "DUBLIN",
"state": "GA",
"postal_code": "31021",
"telephone_number": "478-272-0203",
"fax_number": "478-272-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BOWLING LANE",
"city": "DUBLIN",
"state": "GA",
"postal_code": "31021",
"telephone_number": "478-272-0203",
"fax_number": "478-272-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOOS",
"first_name": "GYULA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "049093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000906529E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000906529D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.