Carol L Herrmann PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CAROL L HERRMANN PC

Practice address

150 E Ponce de Leon Ave Ste 235
Decatur, GA 30030-2553

Phone

(404) 378-1998

Fax

(404) 941-2642

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Carol Lynn Herrmann, MDNPI 1952368532

Title

MD/Owner

Phone

(404) 273-7406

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rainbow Kids Pediatrics Doing business as

Electronic endpoints 1

Tax ID family

Carol L Herrmann PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carol L Herrmann PC

  • Pediatric Adolescent Medicine Physician
  • Decatur, GA
  • NPI 1235713538
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol L Herrmann, MD

  • Pediatrics Physician
  • Decatur, GA
  • NPI 1952368532
  NPD Authorized official

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1477137396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E PONCE DE LEON AVE STE 235",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302553",
            "telephone_number": "404-378-1998",
            "fax_number": "404-941-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PONCE DE LEON AVE STE 235",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302553",
            "telephone_number": "404-378-1998",
            "fax_number": "404-941-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL L HERRMANN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "404-273-7406",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1952368532",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.rbkdoc.com/contact.html",
            "affiliation": "N",
            "endpointDescription": "url endpoint",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 E Ponce De Leon Ave Ste 235",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300302553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rainbow Kids Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Carl
• Laura Marie Carlson
• Carmen J Wilson MD PC
• Clarice Carner-Smith
• Carol L Herrmann PC
• Michael Alan Carpenter, DDS
• Ouida Deedra Carr
• Vanessa Carr, FNP-C
• William Bryant Carr, D.MIN LMFT
• Joseph Carreon, PHARMD

• Pediatrics Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.