Active NPI
Larry Marvin Saripkin, MD
- Pediatric Gastroenterology Physician
- Atlanta, GA
National Provider Identifier
1689633901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 026376
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4060600 | Other | AETNA MC PPO PIN | |
| 000293895D | Medicaid | GA | |
| 2569966002 | Other | CIGNA | |
| 52025932008 | Other | BLUE CHOICE PROVIDER ID | |
| 1253888 | Other | UNITED HEALTH CARE | |
| 2134607 | Other | AETNA HMO POS | |
| 992 | Other | KAISER | |
| 593252 | Other | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 026376 | GA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Childrens Center for Digestive Health Care LLC | Pediatric Gastroenterology | Past | 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.
-
- Pediatric Gastroenterology Physician
- Atlanta, GA
- NPI 1457329989
-
- Pediatric Nutrition Registered Dietitian
- Woodstock, GA
- NPI 1558096479
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.