Individual provider Active NPI

Tracy Nailor, MD, MPH

  • Pediatrics Physician
  • Chamblee, GA
National Provider Identifier
1831215714
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
44659 Issued in GA
Practice address
5080 Peachtree Blvd
Suite 100
Chamblee, GA 30341-2877
Phone
(404) 785-5437
Fax
(404) 785-8053
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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 44659 GA Primary

Addresses

Primary practice location

5080 Peachtree Blvd
Suite 100
Chamblee, GA 30341-2877

Mailing address

5080 Peachtree Blvd
Suite 100
Chamblee, GA 30341-2877
Phone (404) 785-5437

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address choa@choa.gadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44659GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CTC Integrated Healthcare LLC CurrentSince May 1, 2016 Accepting new patients

Locations

6600 Roswell Rd
Ste A
Sandy Springs, GA 30328
Phone (404) 531-0055

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1831215714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 PEACHTREE BLVD",
            "address_2": "SUITE 100",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412877",
            "telephone_number": "404-785-5437",
            "fax_number": "404-785-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 PEACHTREE BLVD",
            "address_2": "SUITE 100",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412877",
            "telephone_number": "404-785-5437",
            "fax_number": "404-785-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAILOR",
        "first_name": "TRACY",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "44659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "5080 Peachtree Blvd",
            "address_2": "Suite 100",
            "city": "Chamblee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303412877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

Verify at the official NPI Registry.