Individual provider Active NPI

Jonathan Louis

  • Pediatrics Physician
  • College Park, GA
National Provider Identifier
1801751383
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
003291819A Issued in GA
Practice address
1745 Phoenix Blvd Ste 300-335
College Park, GA 30349-5591
Phone
(929) 884-5613
Fax
(347) 577-9445
NPI assigned
Dec 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 003291819A GA Primary

Addresses

Primary practice location

1745 Phoenix Blvd Ste 300-335
College Park, GA 30349-5591

Mailing address

1745 Phoenix Blvd Ste 300-335
College Park, GA 30349-5591
Phone (929) 884-5613

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

State licenses

LicenseStateTypeSpecialty
003291819AGAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Comfort Care, Inc Current Accepting new patients
Serencare CurrentSince Dec 21, 2025 Accepting new patients

Locations

1745 Phoenix Blvd
Ste 300335
College Park, GA 30349
Phone (929) 884-5613

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1801751383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 PHOENIX BLVD STE 300-335",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495591",
            "telephone_number": "929-884-5613",
            "fax_number": "347-577-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 PHOENIX BLVD STE 300-335",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495591",
            "telephone_number": "929-884-5613",
            "fax_number": "347-577-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "003291819A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.