Individual provider Active NPI

Jacqueline Gindler, M.D.

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1891095329
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
031923 Issued in GA
Practice address
1799 Briarcliff Rd NE
Suite X
Atlanta, GA 30306-2142
Phone
(404) 745-4578
Fax
(404) 745-4579
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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 031923 GA Primary

Addresses

Primary practice location

1799 Briarcliff Rd NE
Suite X
Atlanta, GA 30306-2142

Mailing address

1267 Biltmore Dr NE
Atlanta, GA 30329-3835
Phone (678) 488-6426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031923GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Hill Pediatrics Past Accepting new patients
Kevin J. Rodbell, MD Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1891095329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 BILTMORE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293835",
            "telephone_number": "678-488-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 BRIARCLIFF RD NE",
            "address_2": "SUITE X",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062142",
            "telephone_number": "404-745-4578",
            "fax_number": "404-745-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINDLER",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "031923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.