Gregory L. Erdelyan MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35864 Issued in GA

Legal business name

GREGORY L. ERDELYAN MD PC

Practice address

1104 Hospital Dr
Stockbridge, GA 30281-6381

Phone

(678) 289-2003

Fax

(678) 289-0191

NPI assigned

Apr 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Pia Magdalene Berks

Title

Biller

Phone

(770) 378-2449

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1669595526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 HOSPITAL DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816381",
            "telephone_number": "678-289-2003",
            "fax_number": "678-289-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 HOSPITAL DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816381",
            "telephone_number": "678-289-2003",
            "fax_number": "678-289-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. ERDELYAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "BERKS",
        "authorized_official_first_name": "PIA",
        "authorized_official_middle_name": "MAGDALENE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "770-378-2449",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "35864",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "35864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Johnson Green, DNP,FNP-BC,AGACNP-BC
• Sandea Anessa Greene-Harris, MD
• Vernon W Greene, D.M.D.
• Wendy March Greenway, NP
• Marta Greer, M.A.
• Roger Gregory, PA-C
• Lannae Gresham
• Laporsha Grier, COSMETOLOGY INSTRUC1
• Monique Grier
• Shanice Shardae Griffin

• Surgery Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.