NPIMap

Organization Active NPI

Felix Pelaez MD

  • Surgery Physician
  • Riverdale, GA
National Provider Identifier
1831554120
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
024172 Issued in GA
Legal business name
FELIX PELAEZ MD
Practice address
195 Upper Riverdale Rd SW
Suite B
Riverdale, GA 30274-2518
Phone
(770) 991-2289
Fax
(770) 991-1345
NPI assigned
Dec 31, 2015
Last updated
Dec 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Melinda Cole
Title
Administrator
Phone
(770) 991-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 024172 GA Primary

Addresses

Primary practice location

195 Upper Riverdale Rd SW
Suite B
Riverdale, GA 30274-2518

Mailing address

195 Upper Riverdale Rd SW
Suite B
Riverdale, GA 30274-2518
Phone (770) 991-2289

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1831554120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 UPPER RIVERDALE RD SW",
            "address_2": "SUITE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742518",
            "telephone_number": "770-991-2289",
            "fax_number": "770-991-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 UPPER RIVERDALE RD SW",
            "address_2": "SUITE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742518",
            "telephone_number": "770-991-2289",
            "fax_number": "770-991-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIX PELAEZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-991-2289"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "024172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.