Khemaporn Lertdetkajorn, MD
Endocrinology, Diabetes & Metabolism Physician · Riverdale, GA
Khemaporn Lertdetkajorn, MD is an endocrinology, diabetes & metabolism physician with a practice address in Riverdale, Georgia, and NPI 1871089367, issued on Jul 8, 2018. Check the license (Georgia 100193, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Khemaporn Lertdetkajorn
- Credential
- MD
- Primary taxonomy
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License number
- 100193 GA
Self-reported in NPPES; status is on the state search - Practice location
- 33 Upper Riverdale RD SW Ste 111, Riverdale, GA 30274
- Phone
- (770) 909-2045
- Enumerated
- Jul 8, 2018
- Record last updated
- Jun 30, 2026
- Fax
- (770) 909-2056
- Medicare enrollment
- Enrolled (PECOS I20250204002822); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest endocrinology, diabetes & metabolism physician records → All 245 in Georgia → Look up another NPI →
Verify Khemaporn Lertdetkajorn in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 100193Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Southern Regional Physicians Management Group, LLCRiverdale, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Khemaporn Lertdetkajorn among 245 endocrinology, diabetes & metabolism physician records in Georgia
Khemaporn Lertdetkajorn, MD is one of 245 endocrinology, diabetes & metabolism physician records with a practice address in Georgia. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 89% of them.
- NPI issued2018 · 89% of these records are older, 8% newer
- In a Medicare fileYes · 92% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated2015 · median 2004 among the 194 with a school on file
- Record last updated2026 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Endocrinology, Diabetes & Metabolism Physician providers in Georgia
There are 245 endocrinology, diabetes & metabolism physician records in Georgia.
All 245 in Georgia → Every provider in Riverdale → Endocrinology, Diabetes & Metabolism Physician nationwide →
The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes
- Evgenia Scott, M.D.Peachtree City, GA 302691093915464
- Tallapragada Shankar, MDStockbridge, GA 302811619980810
- Yoojin SohnStockbridge, GA 302811548624869
- Shehzad Topiwala, MDStockbridge, GA 302811164684700
- Charles Farmer, MDNewnan, GA 302651245664440
- Vanessa Goyes Ruiz, M.D.Newnan, GA 302651164809885
- Joseph Haddad, MDNewnan, GA 302651427672203
- Jian Pang, M.D.Newnan, GA 302651558637058
Common questions
What is Khemaporn Lertdetkajorn, MD's NPI number?
Khemaporn Lertdetkajorn, MD's National Provider Identifier (NPI) is 1871089367, issued on Jul 8, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Khemaporn Lertdetkajorn, MD located?
The NPPES record lists a practice address at 33 Upper Riverdale RD SW Ste 111, Riverdale, GA, 30274. Phone: (770) 909-2045. Providers update this record themselves, so call before visiting.
How can I verify Khemaporn Lertdetkajorn, MD's license?
NPPES lists Georgia license number 100193, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.