Pinecca Patel DPM LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001059 Issued in GA

Legal business name

PINECCA PATEL DPM LLC

Practice address

6 Executive Park Dr NE Ste 10
Atlanta, GA 30329-2224

Phone

(404) 321-9900

Fax

(404) 321-4460

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Lauren Kaeser

Title

Chief Operating Officer

Phone

(912) 844-4329

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1699266759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EXECUTIVE PARK DR NE STE 10",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292224",
            "telephone_number": "404-321-9900",
            "fax_number": "404-321-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EXECUTIVE PARK DR NE STE 10",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292224",
            "telephone_number": "404-321-9900",
            "fax_number": "404-321-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECCA PATEL DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "KAESER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "912-844-4329"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003202355",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cederic Manuel Pimentel-Farias, M.D.
• Ana Maria Pimentel, M.D.
• Jeremie Oliver Pina, DDS, PHD, MBA, MS
• Margaret A Pinder
• Jeffrey R Pine, M.D.
• Lori Jo Pineda, RN
• Natalia Pineda, MD
• Nicolai Pineda, PA
• Jayden Pinkney
• Jessica Brittain Pinkston, PA-C

• Foot & Ankle Surgery Podiatrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.