Healthcare Provider Details

I. General information

NPI: 1619331477
Provider Name (Legal Business Name): LAILA ANNA ZIEGLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 JOHNSON FERRY RD
ATLANTA GA
30342-1605
US

IV. Provider business mailing address

PO BOX 42202
ATLANTA GA
30311-0202
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-2273
  • Fax: 404-785-5846
Mailing address:
  • Phone: 404-907-4242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101266690
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number103298
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number0101266690
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number103298
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: