Healthcare Provider Details

I. General information

NPI: 1346161569
Provider Name (Legal Business Name): KARA PEPPER, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1259 MONROE DR NE
ATLANTA GA
30306-3439
US

IV. Provider business mailing address

1259 MONROE DR NE
ATLANTA GA
30306-3439
US

V. Phone/Fax

Practice location:
  • Phone: 404-491-9122
  • Fax: 888-915-0743
Mailing address:
  • Phone: 404-491-9122
  • Fax: 888-915-0743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. KARA PEPPER
Title or Position: CEO
Credential: MD
Phone: 404-491-9122