Active NPI
Rosa Lipin
- Otolaryngology Physician
- Cumming, GA
National Provider Identifier
1982047189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 82725
- Practice address
- 4150 Deputy Bill Cantrell Memorial Rd
Ste 260
Cumming, GA 30040-0000 - Phone
- (770) 292-3045
- Fax
- (770) 292-3046
- NPI assigned
- Apr 8, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Otolaryngology Physician | 207Y00000X | 82725 | GA | Primary |
Addresses
Primary practice location
4150 Deputy Bill Cantrell Memorial Rd
Ste 260
Cumming, GA 30040-0000
Mailing address
4150 Deputy Bill Cantrell Memorial Rd
Ste 260
Cumming, GA 30040-0000
Phone (770) 292-3045
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82725 | GA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1982047189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
"address_2": "STE 260",
"city": "CUMMING",
"state": "GA",
"postal_code": "300400000",
"telephone_number": "770-292-3045",
"fax_number": "770-292-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
"address_2": "STE 260",
"city": "CUMMING",
"state": "GA",
"postal_code": "300400000",
"telephone_number": "770-292-3045",
"fax_number": "770-292-3046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPIN",
"first_name": "ROSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-08",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "82725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.