Individual provider Active NPI

Juliana M Vera Ortiz, M.D.

  • Pediatric Endocrinology Physician
  • Newnan, GA
National Provider Identifier
1992068456
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
82905 Issued in GA
Practice address
39 Oak Hill CT BLDG C
Newnan, GA 30265-2392
Phone
(770) 683-7873
Fax
(770) 683-7870
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 82905 GA Primary

Addresses

Primary practice location

39 Oak Hill CT BLDG C
Newnan, GA 30265-2392

Mailing address

1611 NW 12TH Ave
Pediatric Endocrinology
Miami, FL 33136-1005

Other practice location 1

1611 NW 12th Ave
pediatric endocrinology
Miami, FL 33136-1005
Phone (305) 815-0608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823003590 GA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 7911235213 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jul 29, 2019 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jul 29, 2019 Accepting new patients
Piedmont Providers LLC CurrentSince May 1, 2022 Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

2301 Newnan Crossing Blvd E
Ste 210
Newnan, GA 30265
Phone (770) 400-7800

39 Oak Hill Ct
#C
Newnan, GA 30265
Phone (770) 683-7873

Organizations & group practices 3

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1992068456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "PEDIATRIC ENDOCRINOLOGY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 OAK HILL CT BLDG C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652392",
            "telephone_number": "770-683-7873",
            "fax_number": "770-683-7870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_2": "pediatric endocrinology",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-815-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERA ORTIZ",
        "first_name": "JULIANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "GA",
            "license": "82905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.