Active NPI
Carol L Herrmann, MD
- Pediatrics Physician
- Decatur, GA
National Provider Identifier
1952368532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 033987
- Practice address
- 150 E Ponce de Leon Ave Ste 235
Decatur, GA 30030-2553 - Phone
- (404) 378-1998
- Fax
- (404) 941-2642
- NPI assigned
- Apr 27, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 033987 | GA | Primary |
Addresses
Primary practice location
150 E Ponce de Leon Ave Ste 235
Decatur, GA 30030-2553
Mailing address
150 E Ponce de Leon Ave Ste 235
Decatur, GA 30030-2553
Phone (404) 378-1998
Other practice location 1
755 Commerce Dr
Ste 503
Decatur, GA 30030
Phone (404) 378-1998
Other names 1
- Carol Lynn Herrmann
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
| License | State | Type | Specialty |
|---|---|---|---|
| 033987 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carol L Herrmann PC | Current | Accepting new patients | |
| Carol L Herrmann PC | Pediatrics | Current | Accepting new patients |
Locations
150 E Ponce de Leon Ave
Ste 235
Decatur, GA 30030
Phone (404) 377-0620
Interoperability endpoints
- cherrmann4034@choa.gadirect.net
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.
-
dba Rainbow Kids Pediatrics
- Pediatric Adolescent Medicine Physician
- Decatur, GA
- NPI 1235713538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619913600000",
"number": "1952368532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E PONCE DE LEON AVE STE 235",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302553",
"telephone_number": "404-378-1998",
"fax_number": "404-941-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E PONCE DE LEON AVE STE 235",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302553",
"telephone_number": "404-378-1998",
"fax_number": "404-941-2642"
}
],
"practiceLocations": [
{
"address_1": "755 Commerce Dr",
"address_2": "Ste 503",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "30030",
"country_code": "US",
"telephone_number": "404-378-1998",
"fax_number": "404-378-1997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRMANN",
"first_name": "CAROL",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2021-05-02",
"certification_date": "2021-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "033987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "HERRMANN",
"middle_name": "LYNN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.