Individual provider Active NPI

Harold Wendell Pitts, MD

  • Specialist
  • Kennesaw, GA
National Provider Identifier
1477752061
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
016521 Issued in GA
Practice address
1350 Wooten Lake Rd NW
Suite 101
Kennesaw, GA 30144-1349
Phone
(770) 432-0494
Fax
(770) 432-0496
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 016521 GA Primary

Addresses

Primary practice location

1350 Wooten Lake Rd NW
Suite 101
Kennesaw, GA 30144-1349

Mailing address

5033 Kendall Sta NW
Acworth, GA 30102-7963
Phone (770) 423-0494

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midland County Hospital District Past Accepting new patients
Whitfield County Board of Health PastSince Nov 28, 2011 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1477752061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 KENDALL STA NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301027963",
            "telephone_number": "770-423-0494",
            "fax_number": "770-423-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WOOTEN LAKE RD NW",
            "address_2": "SUITE 101",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441349",
            "telephone_number": "770-432-0494",
            "fax_number": "770-432-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "HAROLD",
        "middle_name": "WENDELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "016521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.