Sarandeep K. Makkar, MD, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

058617 Issued in GA

Practice address

5440 Hillandale Dr
Kaiser Permanente Panola Medical Center
Lithonia, GA 30058-4865

Phone

(770) 322-2777

Fax

(770) 888-0763

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 8

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Bremen Family Health and Wellness

  • Adult Health Clinical Nurse Specialist
  • Bremen, GA
  • NPI 1891859849
  NPD (past)
• Heritage Medical Management Group LLC

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1710858592
  NPD (past)
• Rika Medical Clinic

  • Pediatrics Physician
  • Norcross, GA
  • NPI 1528237492

  Family Medicine

  NPD (past)
• Franklin Primary Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Frisco City, AL
  • NPI 1982024402

  Family Medicine

  NPD (past)
• Mobile Emergency Group PC

  • Emergency Medicine Physician
  • Mobile, AL
  • NPI 1932166287
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1487683157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE",
            "address_2": "NINE PIEDMONT CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051717",
            "telephone_number": "404-504-5678",
            "fax_number": "770-888-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 HILLANDALE DR",
            "address_2": "KAISER PERMANENTE PANOLA MEDICAL CENTER",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584865",
            "telephone_number": "770-322-2777",
            "fax_number": "770-888-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKKAR",
        "first_name": "SARANDEEP",
        "middle_name": "K.",
        "credential": "MD, DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "GA",
            "license": "058617",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO-860",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936721",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936719",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51533396",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51533397",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51533400",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935858",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936722",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51533398",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3550 Preston Ridge Rd",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300053821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marsha Lynch, CNA
• M&E Counseling and Consulting
• Charles E Madden, MD
• Markia Maddox
• Magenta Breeze Home, Inc.
• Celia C Mamby, MD
• Shantae Mangaroo, M.D.
• Keyonna Manning, CPHT
• Juan Mannings, R.S.A.
• Pkanita Bonner Marion, NP

• Family Medicine Physician in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.