Active NPI
Jeffrey H. Korotkin, M.D.
- Obstetrics & Gynecology Physician
- Atlanta, GA
National Provider Identifier
1477562247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 016940
- Practice address
- 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606 - Phone
- (404) 851-8988
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 016940 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Mailing address
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8988
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00016728P | Medicaid | GA | |
| 00016728Q | Medicaid | GA | |
| 00016728J | Medicaid | GA | |
| 00016728G | Medicaid | GA | |
| 00016728L | Medicaid | GA | |
| 00016728I | 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 |
|---|---|---|---|
| 016940 | GA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240444800000",
"number": "1477562247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "404-851-8988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "404-851-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOROTKIN",
"first_name": "JEFFREY",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2009-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "016940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016728P",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016728Q",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016728J",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016728G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016728L",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016728I",
"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 Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.