Individual provider Active NPI

Arie E Pelta, M.D.

  • Colon & Rectal Surgery Physician
  • Atlanta, GA
National Provider Identifier
1417915992
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
057416 Issued in GA
Practice address
315 Boulevard NE
Suite# 500
Atlanta, GA 30312-1266
Phone
(404) 265-3635
Fax
(404) 265-3635
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 057416 GA Primary

Addresses

Primary practice location

315 Boulevard NE
Suite# 500
Atlanta, GA 30312-1266

Mailing address

315 Boulevard NE
Suite# 500
Atlanta, GA 30312-1266
Phone (404) 265-3635

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
057416GAMDColon & Rectal Surgery Physician

Interoperability endpoints

  • Direct secure messaging: arie.pelta.p47@direct.tenet.nextgenshare.com
  • Direct secure messaging: arie.pelta.p53@direct.tenet.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1417915992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BOULEVARD NE",
            "address_2": "SUITE# 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121266",
            "telephone_number": "404-265-3635",
            "fax_number": "404-265-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BOULEVARD NE",
            "address_2": "SUITE# 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121266",
            "telephone_number": "404-265-3635",
            "fax_number": "404-265-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTA",
        "first_name": "ARIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "057416",
            "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 Nov 22, 2011; 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.