Individual provider Active NPI

John A Zora, MD

  • Allergy & Immunology Physician
  • Lawrenceville, GA
National Provider Identifier
1699715573
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
026420 Issued in GA
Practice address
1990 Riverside Parkway
Lawrenceville, GA 30043
Phone
(770) 995-1537
Fax
(770) 822-2940
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 026420 GA Primary

Addresses

Primary practice location

1990 Riverside Parkway
Lawrenceville, GA 30043

Mailing address

114 Townpark Dr NW
Suite 240
Kennesaw, GA 30144-3715
Phone (770) 952-8612

Other identifiers 2

IdentifierTypeStateIssuer
03BDBQMOtherGAMEDICARE ID
00292003EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000532 GA Practitioner - Allergy/Immunology 0749304368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Allergy & Asthma Clinic PA Allergy & Immunology CurrentSince Mar 5, 2010 Accepting new patients

Locations

100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000

114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBFBA

Organizations & group practices 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1699715573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TOWNPARK DR NW",
            "address_2": "SUITE 240",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443715",
            "telephone_number": "770-952-8612",
            "fax_number": "678-803-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 RIVERSIDE PARKWAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30043",
            "telephone_number": "770-995-1537",
            "fax_number": "770-822-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORA",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "026420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "03BDBQM",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00292003E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.