Lori Desoutter, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

037985 Issued in GA

Practice address

5185 Peachtree Pkwy
Suite 330
Peachtree Corners, GA 30092

Phone

(770) 476-9885

Fax

(770) 476-8482

NPI assigned

Jul 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4361/brand/1/csg/1/fhir/r4
• Direct secure messaging: ldesoutter2944@choa.gadirect.net

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.

• Pediatric Associates of North Atlanta, P.C.

  • Pediatrics Physician
  • Duluth, GA
  • NPI 1184763062
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1962400739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY",
            "address_2": "SUITE 330",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "770-476-9885",
            "fax_number": "770-476-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY",
            "address_2": "SUITE 330",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "770-476-9885",
            "fax_number": "770-476-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUTTER",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "037985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Dameus
• Charney Davis, LCSW
• Kristina Mohme Dawson, D.M.D.
• Jacob Allan Decamp, RPH
• Vakitre Denson
• Linh DO
• Alice T Dorking, CCC-SLP
• Dr. John S Yu and Associates P.C.
• Dr. Julius N. Skeete & Associates, P.C.
• Driveguard Auto Inc

• Pediatrics Physician in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.