Active NPI
Vaibhav Maurya, MD
- Pediatrics Physician
- Atlanta, GA
National Provider Identifier
1578683447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 062863
- Practice address
- 400 W Peachtree St NW
Suite 1106
Atlanta, GA 30308-3546 - Phone
- (706) 951-4178
- NPI assigned
- Apr 2, 2007
- Last updated
- Nov 11, 2009
- Sex
- Male
- 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 | 062863 | GA | Primary |
Addresses
Primary practice location
400 W Peachtree St NW
Suite 1106
Atlanta, GA 30308-3546
Mailing address
400 W Peachtree St NW
Suite 1106
Atlanta, GA 30308-3546
Phone (706) 951-4178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062863 | Other | GA | GEORGIA COMPOSITE MEDICAL BOARD PHYSICIAN LICENSE |
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 |
|---|---|---|---|
| 062863 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1578683447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W PEACHTREE ST NW",
"address_2": "SUITE 1106",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303083546",
"telephone_number": "706-951-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W PEACHTREE ST NW",
"address_2": "SUITE 1106",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303083546",
"telephone_number": "706-951-4178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURYA",
"first_name": "VAIBHAV",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "062863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA COMPOSITE MEDICAL BOARD PHYSICIAN LICENSE",
"identifier": "062863",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.