Individual provider Active NPI

Carol L Herrmann, MD

  • Pediatrics Physician
  • Decatur, GA
National Provider Identifier
1952368532
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
033987 Issued in GA
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

Updated by the provider on May 2, 2021

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 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 Other name

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
033987GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.