Rodney N Kreider, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

022162 Issued in GA

Practice address

1215 Eagles Landing Pkwy
Suite 208
Stockbridge, GA 30281-7279

Phone

(770) 507-4144

Fax

(770) 507-1001

NPI assigned

Mar 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1760441125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 EAGLES LANDING PKWY",
            "address_2": "SUITE 208",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817279",
            "telephone_number": "770-507-4144",
            "fax_number": "770-507-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 EAGLES LANDING PKWY",
            "address_2": "SUITE 208",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817279",
            "telephone_number": "770-507-4144",
            "fax_number": "770-507-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDER",
        "first_name": "RODNEY",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "022162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000407019B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raghuarm Kolanu, MD
• Tusharika Kondaveeti
• Mohamed Koronfel, MD
• Geoffrey Michael Koteles, ATC
• Mark Alan Kozinn, M.D.
• Mariah Kuba
• Patrick Edward Kulmacz, D.C.
• Hannah Abigail Kulunkoglu, NP
• Ameet Kumar, M.D
• Srikar Kumar

• Pediatric Adolescent Medicine Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Pediatric Adolescent Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.