GEORGIA GENETICS, LLC (NPI# 1992985741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992985741 |
| Entity Type | Organization |
| Organization Name | GEORGIA GENETICS, LLC |
| Practice Address |
3180 N Point Pkwy Suite202 Alpharetta GA 30005-4248 |
| Practice Telephone | 7703460132 |
| Practice Fax Number | 7703460165 |
| Mailing Telephone | 7703460132 |
| Mailing Fax Number | 7703460165 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | DR. VIDYA KRISHNAMURTHY (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 7703460132 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRICS & GENETICS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
057528 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3180 N POINT PKWY SUITE202 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344477 | Carol A Hector | Internal Medicine | 3180 N Point Pkwy, Ste 303, Alpharetta, GA 30005-4522 | 2005-05-23 |
| 1962935999 | Shannon M Trippe | Registered Nurse | 3180 N Point Pkwy, Suite 207, Alpharetta, GA 30005-4248 | 2017-04-06 |
| 1770015547 | Jonathan Freeman | Specialist/Technologist, Other | 3180 N Point Pkwy, Suite 207, Alpharetta, GA 30005-4248 | 2017-03-31 |
| 1487104477 | Nancy Kilpatrick | Specialist/Technologist, Other | 3180 N Point Pkwy, Suite 207, Alpharetta, GA 30005-4248 | 2016-10-13 |
| 1588118574 | Premier Dermatology and Mohs Surgery of Atlanta LLC | Dermatology | 3180 N Point Pkwy, Ste 420, Alpharetta, GA 30005-4248 | 2016-08-08 |
| 1548652035 | Katie H Goodwin | Specialist/Technologist, Other | 3180 N Point Pkwy, Suite 207, Alpharetta, GA 30005-4248 | 2015-02-20 |
| 1841610342 | Claudia Mueller-roopnarine | Chiropractor | 3180 N Point Pkwy, Suite 101, Alpharetta, GA 30005-4248 | 2014-04-23 |
| 1528406261 | Scott A Van Nest | Specialist/Technologist, Other | 3180 N Point Pkwy, Building 200 Ste 207, Alpharetta, GA 30005-4248 | 2013-06-04 |
| 1669736559 | Moshe Bachar | Internal Medicine | 3180 N Point Pkwy, Ste 302, Alpharetta, GA 30005-4381 | 2012-06-26 |
| 1598076275 | Long H. Le, M.d.,p.c. | Specialist | 3180 N Point Pkwy, Bldg. 200 Suite 201, Alpharetta, GA 30005-4248 | 2010-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225229693 | Pediatrics & Genetics, LLC | Medical Genetics | 3586 Old Milton Pkwy, Alpharetta, GA 30005-4465 | 2007-08-09 |
| 1497702872 | Vidya Krishnamurthy | Medical Genetics | 3510 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700410867 | Reem Hudaib | Medical Genetics | 1470 Bramlett Forest Trl, Lawrenceville, GA 30045-7281 | 2020-02-27 |
| 1902147093 | Stuart K. Shapira | Medical Genetics | 1600 Clifton Rd., Mailstop E-87, Atlanta, GA 30333 | 2013-03-14 |
| 1255345435 | Stephanie Burns Wechsler | Medical Genetics | 1365 Clifton Rd Ne Bldg B Ste B 2200, Atlanta, GA 30322-1013 | 2006-07-27 |
| 1427513266 | Cynthia Ann Moore | Medical Genetics | 440 Prior St Se, Gainesville, GA 30501-3402 | 2019-02-06 |
| 1053730838 | Emily Black | Medical Genetics | 1365 Clifton Rd Ne Ste 2200, Atlanta, GA 30322 | 2014-04-09 |
| 1083030548 | Juanita Neira Fresneda | Medical Genetics | 1365 Clifton Rd Ne, Building B Suite 2200, Atlanta, GA 30322 | 2014-03-08 |
| 1093078305 | Rossana Lucia Sanchez Russo | Medical Genetics | 1365 Clifton Rd Ne Ste 2200, Atlanta, GA 30322-5307 | 2012-06-21 |
| 1811160609 | Hong Li | Medical Genetics | 2165 N Decatur Rd, Decatur, GA 30033-5307 | 2008-04-11 |
| 1427266055 | Suma P Shankar | Medical Genetics | 2165 N Decatur Rd, Department of Human Genetics, Decatur, GA 30033-5307 | 2007-05-18 |
| 1417174186 | Muhammad Ali Pervaiz | Medical Genetics | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2007-04-20 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.