Active NPI
Amy Renee Murray, M.D.
- Pediatrics Physician
- Hiram, GA
National Provider Identifier
1609875343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 052468
- Practice address
- 51 Hiram Dr BLDG B
Hiram, GA 30141-1844 - Phone
- (813) 507-2433
- NPI assigned
- Jul 15, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 052468 | GA | Primary |
| Pediatrics Physician | 208000000X | ME 98189 | FL |
Addresses
Primary practice location
51 Hiram Dr BLDG B
Hiram, GA 30141-1844
Mailing address
3107 Plainsman Dr
Powder Springs, GA 30127-7024
Phone (813) 507-2433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 815118189A | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 98189 | FL | MD | Pediatrics Physician |
| 052468 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Health System, Inc. | Pediatrics | Past | Accepting new patients |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
Interoperability endpoints
- amurray22995@directwellstar.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1609875343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3107 PLAINSMAN DR",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301277024",
"telephone_number": "813-507-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 HIRAM DR BLDG B",
"city": "HIRAM",
"state": "GA",
"postal_code": "301411844",
"telephone_number": "813-507-2433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "AMY",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "052468",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 98189",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "815118189A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.