Individual provider Active NPI

Christiana Muntzel, M.D.

  • Pediatrics Physician
  • Fayetteville, GA
National Provider Identifier
1508819582
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
046187 Issued in GA
Practice address
101 Yorktown Drive
Suite 200
Fayetteville, GA 30214
Phone
(770) 460-4281
Fax
(770) 460-4002
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 046187 GA Primary

Addresses

Primary practice location

101 Yorktown Drive
Suite 200
Fayetteville, GA 30214

Mailing address

101 Yorktown Drive
Suite 200
Fayetteville, GA 30214
Phone (770) 460-4281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000151 GA Practitioner - Pediatric Medicine 9537123484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Pediatric Medical Group of Georgia LLC Pediatrics CurrentSince Feb 3, 2015 Accepting new patients
Privia Medical Group of Georgia LLC Current Accepting new patients
Piedmont Providers LLC Past Accepting new patients
Piedmont Medical Care Corporation PastSince Dec 29, 1995 Accepting new patients

Locations

101 Yorktown Dr
Ste 102
Fayetteville, GA 30214
Phone (770) 460-4281

101 Yorktown Dr
Fayetteville, GA 30214
Phone (770) 460-4281

101 Yorktown Dr
Ste 200
Fayetteville, GA 30214
Phone (678) 364-5300

4000 Shakerag Hl
Peachtree Cty, GA 30269
Phone (770) 460-3000

950 N Glebe Rd
#4000
Arlington, VA 22203

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: christiana.muntzel.2@8042.direct.athenahealth.com

Organizations & group practices 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1508819582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 YORKTOWN DRIVE",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-460-4281",
            "fax_number": "770-460-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 YORKTOWN DRIVE",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-460-4281",
            "fax_number": "770-460-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTZEL",
        "first_name": "CHRISTIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "046187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.