Organization Active NPI

John R Stripling III MD LLC

  • Urology Physician
  • Duluth, GA
National Provider Identifier
1942474481
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0298000 Issued in GA
Legal business name
JOHN R STRIPLING III MD LLC
Practice address
10700 Medlock Bridge Rd
Suite 204
Duluth, GA 30097-8456
Phone
(678) 356-2000
Fax
(678) 990-3395
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
John R Stripling III, MD
Title
Owner/ Physician
Phone
(678) 356-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 0298000 GA Primary

Addresses

Primary practice location

10700 Medlock Bridge Rd
Suite 204
Duluth, GA 30097-8456

Mailing address

10700 Medlock Bridge Rd
Suite 204
Duluth, GA 30097-8456
Phone (678) 356-2000

National Provider Directory

National Provider Directory

Locations

585 Old Norcross Rd
Ste D
Lawrenceville, GA 30046
Phone (678) 356-2000

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1942474481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 204",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978456",
            "telephone_number": "678-356-2000",
            "fax_number": "678-990-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 204",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978456",
            "telephone_number": "678-356-2000",
            "fax_number": "678-990-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R STRIPLING III MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "STRIPLING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "678-356-2000",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "0298000",
            "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 May 2, 2008; 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.