Individual provider Active NPI

Larry Marvin Saripkin, MD

  • Pediatric Gastroenterology Physician
  • Atlanta, GA
National Provider Identifier
1689633901
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
026376 Issued in GA
Practice address
993D Johnson Ferry Road
Suite 440
Atlanta, GA 30342
Phone
(404) 257-0799
Fax
(404) 503-2280
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 026376 GA Primary

Addresses

Primary practice location

993D Johnson Ferry Road
Suite 440
Atlanta, GA 30342

Mailing address

993D Johnson Ferry Road
Suite 440
Atlanta, GA 30342
Phone (404) 257-0799

Other identifiers 8

IdentifierTypeStateIssuer
4060600OtherAETNA MC PPO PIN
000293895DMedicaidGA
2569966002OtherCIGNA
52025932008OtherBLUE CHOICE PROVIDER ID
1253888OtherUNITED HEALTH CARE
2134607OtherAETNA HMO POS
992OtherKAISER
593252OtherBLUE CHOICE FAC

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

LicenseStateTypeSpecialty
026376GAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Childrens Center for Digestive Health Care LLC Pediatric Gastroenterology PastSince Dec 24, 2025 Accepting new patients
Atlanta Pediatric Nutrition, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1689633901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993D JOHNSON FERRY ROAD",
            "address_2": "SUITE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-257-0799",
            "fax_number": "404-503-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993D JOHNSON FERRY ROAD",
            "address_2": "SUITE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-257-0799",
            "fax_number": "404-503-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARIPKIN",
        "first_name": "LARRY",
        "middle_name": "MARVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "GA",
            "license": "026376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MC PPO PIN",
            "identifier": "4060600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000293895D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2569966002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE PROVIDER ID",
            "identifier": "52025932008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1253888",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO POS",
            "identifier": "2134607",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "992",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE FAC",
            "identifier": "593252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.