Individual provider Active NPI

Paul Michael Zmaj, M.D.

  • Pediatric Urology Physician
  • Marietta, GA
National Provider Identifier
1700088929
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
83696 Issued in GA
Practice address
3747 Roswell Rd Ste 201
Marietta, GA 30062
Phone
(470) 956-1600
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 43422 TN
Pediatric Urology Physician 2088P0231X 83696 GA Primary

Addresses

Primary practice location

3747 Roswell Rd Ste 201
Marietta, GA 30062

Mailing address

3747 Roswell Rd Ste 201
Marietta, GA 30062-6227
Phone (470) 956-1600

Other practice location 1

979 E 3rd St Ste C925
Chattanooga, TN 37403-2136
Phone (423) 778-5910

Other practice location 2

3747 Roswell Rd Ste 201
Marietta, GA 30062
Phone (470) 956-1600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pzmaj339010@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190826001210 GA Practitioner - UrologyPractitioner - Pediatric Medicine 1658446323 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 1, 2019 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3747 Roswell Rd
Ste 201
Marietta, GA 30062
Phone (470) 956-1590

Interoperability endpoints

  • Direct secure messaging: pzmaj339010@directwellstar.org

Organizations & group practices 3

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1700088929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 ROSWELL RD STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626227",
            "telephone_number": "470-956-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 ROSWELL RD STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "470-956-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "979 E 3rd St Ste C925",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032136",
            "country_code": "US",
            "telephone_number": "423-778-5910",
            "fax_number": "423-778-5915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3747 Roswell Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "30062",
            "country_code": "US",
            "telephone_number": "470-956-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZMAJ",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TN",
            "license": "43422",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "GA",
            "license": "83696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pzmaj339010@directwellstar.org",
            "affiliation": "N",
            "address_1": "3747 Roswell Rd Ste 201",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.