Active NPI
Alana Meryll Bozeman, M.D.
- Pediatrics Physician
- Lawrenceville, GA
National Provider Identifier
1760773022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 71684
- Practice address
- 595 Hurricane Shoals Rd NW
Suite 300
Lawrenceville, GA 30046 - Phone
- (770) 995-0823
- Fax
- (678) 252-2249
- NPI assigned
- Apr 21, 2011
- Last updated
- Jul 21, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 71684 | GA | Primary |
| Pediatric Nephrology Physician | 2080P0210X | 71684 | GA |
Addresses
Primary practice location
595 Hurricane Shoals Rd NW
Suite 300
Lawrenceville, GA 30046
Mailing address
595 Hurricane Shoals Rd NW
Suite 300
Lawrenceville, GA 30046
Phone (770) 995-0823
Other names 1
- Alana Meryll Karp
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160208001360 | GA | Order and Referring Only - Pediatric Medicine | 7416251756 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Pediatrics & Adolescent Medicine | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14859/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Lawrenceville, GA
- NPI 1003940909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760773022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 HURRICANE SHOALS RD NW",
"address_2": "SUITE 300",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30046",
"telephone_number": "770-995-0823",
"fax_number": "678-252-2249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 HURRICANE SHOALS RD NW",
"address_2": "SUITE 300",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30046",
"telephone_number": "770-995-0823",
"fax_number": "678-252-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZEMAN",
"first_name": "ALANA",
"middle_name": "MERYLL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "71684",
"primary": true
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "GA",
"license": "71684",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALANA",
"last_name": "KARP",
"middle_name": "MERYLL",
"credential": "M.D.",
"code": "1",
"type": "Former 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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.