Active NPI
Keyana Cardoza
- Physician Assistant
- Decatur, GA
National Provider Identifier
1518711985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1438 McLendon Dr
Decatur, GA 30033-1802 - Phone
- (770) 414-0337
- NPI assigned
- Apr 12, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1438 McLendon Dr
Decatur, GA 30033-1802
Mailing address
2960 Flowers Rd S Apt 2503
Atlanta, GA 30341-5512
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daffodil Pediatrics and Family Medicine | Past | Accepting new patients |
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
- Forest Park, GA
- NPI 1851663124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1518711985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 FLOWERS RD S APT 2503",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303415512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 MCLENDON DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300331802",
"telephone_number": "770-414-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDOZA",
"first_name": "KEYANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-12",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
- Daniel J. Canter, MD
- Heidi Floyd Cantrell, PHARMD, BCPS
- David Cao, DC
- Yoana Nayeli Cardenas Rosillo
- Cardiology Consultants of Atlanta
- Care and Counseling Center of Georgia
- Care and Counseling Center of Georgia, Inc.
- Care Counseling & Psychological Services, LLC
- Care Family Medical Center
- Care for You Homecare Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.