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Export Provider Record NPI 1043414196
North Georgia Diabetes And Endocrinology
Organization Subpart: NO
Active
NPI Number1043414196
NPI TypeNPI-2 Organization
SpecialtyInternal Medicine, Endocrinology, Diabetes & Metabolism
Provider Details
NPI1043414196
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-06-13
Last Updated2007-08-09
Authorized OfficialGeetha Soodini
Physician
Phone: 6787492131
Mailing Address11585 Jones Bridge Rd, Suite 420-127
Alpharetta, GA 30022-8129
United States
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Primary Practice Address1505 Northside Blvd, Suite 2800
Cumming, GA 30041
United States
Phone: (678) 749-2131
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RE0101X – Internal Medicine, Endocrinology, Diabetes & MetabolismGA059025
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About NPI 1043414196

North Georgia Diabetes And Endocrinology is an organization registered in the CMS NPPES NPI Registry with NPI number 1043414196. The primary specialty listed is Internal Medicine, Endocrinology, Diabetes & Metabolism. The organization is located in Cumming, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-06-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043414196?

NPI 1043414196 belongs to North Georgia Diabetes And Endocrinology, a Internal Medicine, Endocrinology, Diabetes & Metabolism in Cumming, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043414196 active?

The current status of NPI 1043414196 in the NPPES registry is Active. The record was last updated on 2007-08-09.

What specialty is NPI 1043414196?

NPI 1043414196 is classified under the taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043414196?

You can verify NPI 1043414196 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043414196?

The primary practice address on file for NPI 1043414196 is 1505 Northside Blvd, Cumming, GA 30041. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043414196 issued?

NPI 1043414196 was first issued (enumerated) on 2007-06-13. The NPPES record was last updated on 2007-08-09.

Practice Location Map

North Georgia Diabetes And Endocrinology is located at 1505 Northside Blvd, Cumming, GA. Use the map below to find directions or verify the practice location.

📍 1505 Northside Blvd, Cumming, GA 30041  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as North Georgia Diabetes And Endocrinology. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1043414196. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, Endocrinology, Diabetes & Metabolism059025GA
Data Verified from CMS NPPES Last synced: 2026-06-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162