Active NPI
Henry John Zielinski, M.D.
- Surgery Physician
- Acworth, GA
National Provider Identifier
1679654982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 041042
- Practice address
- 5825 Brookstone Walk NW
Acworth, GA 30101-8439 - Phone
- (770) 597-0045
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 041042 | GA | Primary |
Addresses
Primary practice location
5825 Brookstone Walk NW
Acworth, GA 30101-8439
Mailing address
5825 Brookstone Walk NW
Acworth, GA 30101-8439
Phone (770) 597-0045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000680127C | 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 |
|---|---|---|---|
| 041042 | GA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221177600000",
"number": "1679654982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5825 BROOKSTONE WALK NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018439",
"telephone_number": "770-597-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 BROOKSTONE WALK NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018439",
"telephone_number": "770-597-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIELINSKI",
"first_name": "HENRY",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2008-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "041042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000680127C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.