Gloria Ana Berenson, MD
Individual provider Active NPI Pediatrics Physician · Dunwoody, GA
NPI 1497795512 · NPPES record last updated Aug 18, 2011
Key facts
- NPI
- 1497795512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 044410 (GA)
- Practice address
- 1428 Dunwoody Village Pkwy.
Dunwoody, GA 30338 - Phone
- (770) 394-2398
- Fax
- (770) 394-3055
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044410 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunwoody Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- gberenson3101@choa.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 044410 | GA | Yes |
Addresses
Primary practice location
1428 Dunwoody Village Pkwy.
Dunwoody, GA 30338
Mailing address
1428 Dunwoody Village Pkwy.
Dunwoody, GA 30338
Phone (770) 394-2398
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000768226E | Medicaid | GA |
Other names
- Gloria Ana Berenson
Other providers in Dunwoody, GA
- Jenna Caroline Bayne
- Teresa Lianne Beck
- Monica Denise Bell
- Ronnette J Belton
- Natalia Benza
- Janette Berne
- Susan K Bertelson
- Better Health Better Life LLC
- Better Medical Care of Atlanta LLC
- Neha Ramesh Bhatt
All providers in Dunwoody, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.