Active NPI
Lourdes Lozano Vargas, M.D.
- Family Medicine Physician
- Atlanta, GA
National Provider Identifier
1609050434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 002681
- Practice address
- 4555 N Shallowford Rd Suite 100
Family Medicine Residency Program
Atlanta, GA 30338 - Phone
- (404) 727-8868
- Fax
- (404) 727-1174
- NPI assigned
- Dec 28, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 002681 | GA | Primary |
Addresses
Primary practice location
4555 N Shallowford Rd Suite 100
Family Medicine Residency Program
Atlanta, GA 30338
Mailing address
11 Dunwoody Park Suite 150
The Emory Clinic Inc
Dunwoody, GA 30338
Phone (404) 778-6920
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 |
|---|---|---|---|
| 002681 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1609050434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 DUNWOODY PARK SUITE 150",
"address_2": "THE EMORY CLINIC INC",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "30338",
"telephone_number": "404-778-6920",
"fax_number": "404-778-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 N SHALLOWFORD RD SUITE 100",
"address_2": "FAMILY MEDICINE RESIDENCY PROGRAM",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30338",
"telephone_number": "404-727-8868",
"fax_number": "404-727-1174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZANO VARGAS",
"first_name": "LOURDES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "002681",
"primary": true
}
],
"identifiers": [],
"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 Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.