Active NPI
Laura A. Tsakiris, M.D.
- Specialist
- Duluth, GA
National Provider Identifier
1871561159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 31141
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31141 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.