Active NPI
Katrina Kretsinger, M.D.
- Internal Medicine Physician
- Decatur, GA
National Provider Identifier
1750401626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 203820
- Practice address
- 2651 River Oak Dr
Decatur, GA 30033-2804 - Phone
- (404) 728-5775
- Fax
- (404) 639-8616
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 203820 | MA | Primary |
Addresses
Primary practice location
2651 River Oak Dr
Decatur, GA 30033-2804
Mailing address
2651 River Oak Dr
Decatur, GA 30033-2804
Phone (404) 728-5775
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 |
|---|---|---|---|
| 203820 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750401626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 RIVER OAK DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300332804",
"telephone_number": "404-728-5775",
"fax_number": "404-639-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 RIVER OAK DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300332804",
"telephone_number": "404-728-5775",
"fax_number": "404-639-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRETSINGER",
"first_name": "KATRINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "203820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, 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.