Endohealth

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

061573 Issued in GA

Legal business name

ENDOHEALTH

Practice address

1690 Stone Village LN NW Ste 207
Kennesaw, GA 30152-7778

Phone

(678) 829-6030

NPI assigned

Mar 15, 2017

Last updated

Mar 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gayathri K Devineni, M.DNPI 1619154184

Title

Dr

Phone

(678) 829-6030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16011/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gayathri K Devineni, MD

  • Pediatric Endocrinology Physician
  • Marietta, GA
  • NPI 1619154184
  NPD (past) Authorized official

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1710428305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 GLEN LAKE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 207",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527778",
            "telephone_number": "678-829-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "DEVINENI",
        "authorized_official_first_name": "GAYATHRI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "678-829-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "GA",
            "license": "061573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUPIN",
            "identifier": "1619154184",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly M Emelianchik-Key, PHD, LPC, NCC
• Kyle John Emer, DMD
• En Casa Rehab LLC
• Endodontics Associates LLC
• Endodontics Associates LLC
• Amy Elizabeth Engle, OTR/L
• Magan English
• Constance Enmon, MD
• Envision Chiropractic
• Envision Optics LLC (My EyeLab)

• Pediatric Endocrinology Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Pediatric Endocrinology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.