Active NPI
Maria B. Soto, M.D.
- Pediatrics Physician
- Lawrenceville, GA
National Provider Identifier
1952453615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 93913
- Practice address
- 603 Old Norcross Rd Ste a
Lawrenceville, GA 30046-4315 - Phone
- (678) 407-4489
- NPI assigned
- Jan 16, 2007
- 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 | 93913 | GA | Primary |
Addresses
Primary practice location
603 Old Norcross Rd Ste a
Lawrenceville, GA 30046-4315
Mailing address
603 Old Norcross Rd Ste a
Lawrenceville, GA 30046-4315
Phone (678) 407-4489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003279223A | Medicaid | GA |
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 |
|---|---|---|---|
| ME128936 | FL | MD | Pediatrics Physician |
| 229759 | NY | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivy League Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- msoto@pa.trimed.direct-ci.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Lawrenceville, GA
- NPI 1386928943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1952453615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 OLD NORCROSS RD STE A",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464315",
"telephone_number": "678-407-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 OLD NORCROSS RD STE A",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464315",
"telephone_number": "678-407-4489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "MARIA",
"middle_name": "B.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "93913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003279223A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
- Christiana Oluwatoyin Sonuga, LCSW, ACM-SW
- Perla Johana Sorto, BA/PP
- Sherley Marissa Sosa, BCBA
- Katelyn Soska
- Luz Melania Soto Garcia, MA
- Soulcare Health, LLC
- South East Kidney Home Dialysis (SK Home Dialysis)
- Southern Charm Anesthesia Associates
- Southern Clinical Laboratory Inc.
- Southern Dermatology PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.