Active NPI
Paul L Flicker, MD
- Specialist
- Hapeville, GA
National Provider Identifier
1669796512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 026852
- Practice address
- 791 Oak St
Hapeville, GA 30354-1748 - Phone
- (404) 601-2000
- Fax
- (404) 559-0257
- NPI assigned
- Mar 22, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 026852 | GA | Primary |
Addresses
Primary practice location
791 Oak St
Hapeville, GA 30354-1748
Mailing address
791 Oak St
Hapeville, GA 30354-1748
Phone (404) 601-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026852 | Other | GA | MEDICAL 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 |
|---|---|---|---|
| 026852 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1669796512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 OAK ST",
"city": "HAPEVILLE",
"state": "GA",
"postal_code": "303541748",
"telephone_number": "404-601-2000",
"fax_number": "404-559-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 OAK ST",
"city": "HAPEVILLE",
"state": "GA",
"postal_code": "303541748",
"telephone_number": "404-601-2000",
"fax_number": "404-559-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLICKER",
"first_name": "PAUL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "026852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "026852",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hapeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.