Active NPI
Athanasios Verras, MD
- Pediatrics Physician
- Tucker, GA
National Provider Identifier
1508824392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 022908
- Practice address
- 2007 Montreal Rd
Tucker, GA 33084 - Phone
- (770) 491-1285
- Fax
- (770) 491-3164
- NPI assigned
- May 2, 2006
- Last updated
- Jun 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 022908 | GA | Primary |
Addresses
Primary practice location
2007 Montreal Rd
Tucker, GA 33084
Mailing address
2007 Montreal Rd
Tucker, GA 30084-5253
Phone (770) 491-1285
Other names 1
- Athan Verras
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022908 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Pediatrics & Adolescent Medicine PC | Pediatrics | Past | Accepting new patients |
| Verras Pediatrics PC | Pediatrics | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Tucker, GA
- NPI 1881809937
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1417077884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1508824392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 MONTREAL RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300845253",
"telephone_number": "770-491-1285",
"fax_number": "770-491-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 MONTREAL RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "33084",
"telephone_number": "770-491-1285",
"fax_number": "770-491-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERRAS",
"first_name": "ATHANASIOS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "022908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ATHAN",
"last_name": "VERRAS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tucker, GA
- Kyra Emonee Vaughan
- Racquel Lewis Vaughn, DMD
- Erica Velker
- Izabella Verbitsky, M.D., PH.D.
- Verras Pediatrics PC
- Adrian Verwayne
- Denisse Evelyn Villa Lopez
- Village Shoe Service, LLC (Village Shoe Service)
- Vision Medical Consulting, P.C. (Georgia Long Term Care and Consulting)
- Visions Counseling Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.