Active NPI
Emily Samantha Goldberg, MS
- Genetic Counselor (M.S.)
- Atlanta, GA
National Provider Identifier
1780257931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 5115 New Peachtree Rd Ste 202
Atlanta, GA 30341-3326 - Phone
- (404) 727-1139
- NPI assigned
- Jul 23, 2021
- 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 |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
5115 New Peachtree Rd Ste 202
Atlanta, GA 30341-3326
Mailing address
96 Summit St
Burlington, VT 05401-3928
Other names 1
- Emily Samantha Bloom
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1780257931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 SUMMIT ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054013928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 NEW PEACHTREE RD STE 202",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303413326",
"telephone_number": "404-727-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "EMILY",
"middle_name": "SAMANTHA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "BLOOM",
"middle_name": "SAMANTHA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.