Active NPI
John E Pitts, MD
- Pediatrics Physician
- Lawrenceville, GA
National Provider Identifier
1750397154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 021572
- Practice address
- 601 A Professional Dr
Ste 350
Lawrenceville, GA 30045 - Phone
- (770) 995-0823
- Fax
- (770) 995-7018
- NPI assigned
- Jul 31, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 021572 | GA | Primary |
Addresses
Primary practice location
601 A Professional Dr
Ste 350
Lawrenceville, GA 30045
Mailing address
601 A Professional Dr
Ste 370
Lawrenceville, GA 30045
Phone (770) 995-0823
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00199196A | Medicaid | GA | |
| 00199196B | Medicaid | GA | |
| 00199196C | Medicaid | GA |
Other names 1
- John Edward Pitts
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 |
|---|---|---|---|
| 021572 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750397154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 A PROFESSIONAL DR",
"address_2": "STE 370",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30045",
"telephone_number": "770-995-0823",
"fax_number": "770-995-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 A PROFESSIONAL DR",
"address_2": "STE 350",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30045",
"telephone_number": "770-995-0823",
"fax_number": "770-995-7018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "JOHN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "021572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00199196A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00199196B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00199196C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "PITTS",
"middle_name": "EDWARD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.