Gabriella Kacsoh, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

046774 Issued in GA

Practice address

550 Professional Dr
Macon, GA 31201-1441

Phone

(478) 741-3007

Fax

(478) 744-3481

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gabriella.kacsoh@pppc.eclinicaldirectplus.com

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.

• Middle Georgia Medical Associates, P.C.

  • Pulmonary Disease Physician
  • Warner Robins, GA
  • NPI 1992751911
  NPD (past)
• Primary Pediatrics, PC

  • Specialist
  • Macon, GA
  • NPI 1477638575
  NPD (past)
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1619050515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PROFESSIONAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011441",
            "telephone_number": "478-741-3007",
            "fax_number": "478-744-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PROFESSIONAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011441",
            "telephone_number": "478-741-3007",
            "fax_number": "478-744-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACSOH",
        "first_name": "GABRIELLA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "046774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000934986A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi H Justice, CRNA
• Bryan Lanier Justice, RN
• K.V. Panchapakasan, M.D. PC
• Ahmad Azmi Kabbani, MD
• Azmi A Kabbani, MD
• Deepak Kadiyala, M.D
• Manasa Rao Kakulamarri
• Kala K. Cunard, M.D., L.L.C.
• David M Kalish III, MD
• David M Kalish, DDS

• Pediatrics Physician in Macon, GA
• Providers in Macon, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.