Active NPI
Pooja M Soni, M.D.
- Pediatrics Physician
- Dalton, GA
National Provider Identifier
1497046783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 71417
- Practice address
- 1933 Shields Rd.
Dalton, GA 30720 - Phone
- (706) 278-6628
- Fax
- (706) 272-3832
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 71417 | GA | Primary |
Addresses
Primary practice location
1933 Shields Rd.
Dalton, GA 30720
Mailing address
1933 Shields Rd.
Dalton, GA 30720
Phone (706) 278-6628
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71417 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peds Care P.C. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- pooja.soni.1@6806.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Dalton, GA
- NPI 1679730717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1497046783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 SHIELDS RD.",
"city": "DALTON",
"state": "GA",
"postal_code": "30720",
"telephone_number": "706-278-6628",
"fax_number": "706-272-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 SHIELDS RD.",
"city": "DALTON",
"state": "GA",
"postal_code": "30720",
"telephone_number": "706-278-6628",
"fax_number": "706-272-3832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONI",
"first_name": "POOJA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "71417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.