Individual provider Active NPI

Laura A. Tsakiris, M.D.

  • Specialist
  • Duluth, GA
National Provider Identifier
1871561159
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31141 Issued in GA
Practice address
6610 McGinnis Ferry Rd
Suite 100
Duluth, GA 30097-1542
Phone
(770) 813-8742
Fax
(770) 813-1776
NPI assigned
Mar 10, 2006
Last updated
Jun 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 31141 GA Primary

Addresses

Primary practice location

6610 McGinnis Ferry Rd
Suite 100
Duluth, GA 30097-1542

Mailing address

6610 McGinnis Ferry Rd
Suite 100
Duluth, GA 30097-1542
Phone (770) 813-8742

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
31141GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Jul 6, 2017 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jul 6, 2017 Accepting new patients
Privia Medical Group, LLC Past Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.tsakiris.1@21022.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1871561159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 MCGINNIS FERRY RD",
            "address_2": "SUITE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971542",
            "telephone_number": "770-813-8742",
            "fax_number": "770-813-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 MCGINNIS FERRY RD",
            "address_2": "SUITE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971542",
            "telephone_number": "770-813-8742",
            "fax_number": "770-813-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAKIRIS",
        "first_name": "LAURA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "31141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.