Individual provider Active NPI

Liliya Slutsker, M.D.

  • Pediatrics Physician
  • Lagrange, GA
National Provider Identifier
1841302809
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
056487 Issued in GA
Practice address
1550 Doctors Dr
Suite300
Lagrange, GA 30240-4140
Phone
(706) 884-2686
Fax
(706) 812-0468
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 056487 GA Primary

Addresses

Primary practice location

1550 Doctors Dr
Suite300
Lagrange, GA 30240-4140

Mailing address

1550 Doctors Dr
Suite300
Lagrange, GA 30240-4140
Phone (706) 884-2686

Other identifiers 1

IdentifierTypeStateIssuer
602481657AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025001419 AL Practitioner - Pediatric Medicine 1456361369 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056487GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Aug 24, 2016 Accepting new patients
American Family Care, LLC CurrentSince Aug 24, 2016 Accepting new patients
American Family Care, LLC Current Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Interoperability endpoints

  • Direct secure messaging: liliya.slutsker@westgahealth.gadirect.net

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841302809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 DOCTORS DR",
            "address_2": "SUITE300",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404140",
            "telephone_number": "706-884-2686",
            "fax_number": "706-812-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 DOCTORS DR",
            "address_2": "SUITE300",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404140",
            "telephone_number": "706-884-2686",
            "fax_number": "706-812-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUTSKER",
        "first_name": "LILIYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "056487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602481657A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.