Active NPI
Gregory B Knowlton, M.D.
- Nephrology Physician
- Atlanta, GA
National Provider Identifier
1366522690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 018037
- Practice address
- 5671 Peachtree Dunwoody Rd NE
Suite 500
Atlanta, GA 30342-5000 - Phone
- (404) 855-7030
- Fax
- (678) 843-6619
- NPI assigned
- Oct 17, 2006
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 018037 | GA | Primary |
Addresses
Primary practice location
5671 Peachtree Dunwoody Rd NE
Suite 500
Atlanta, GA 30342-5000
Mailing address
5671 Peachtree Dunwoody Rd NE
Suite 500
Atlanta, GA 30342-5000
Phone (404) 855-7030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00143943A | 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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1366522690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425000",
"telephone_number": "404-855-7030",
"fax_number": "678-843-6619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425000",
"telephone_number": "404-855-7030",
"fax_number": "678-843-6619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLTON",
"first_name": "GREGORY",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "018037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00143943A",
"state": "GA"
}
],
"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 Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.