Active NPI
Natalie Moore Reisman, M.D.
- Anesthesiology Physician
- Johns Creek, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 60860
- Practice address
- 6335 Hospital Pkwy Ste 111
Johns Creek, GA 30097-1550 - Phone
- (770) 712-4616
- Fax
- (678) 256-3897
- NPI assigned
- Jan 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Dalton, GA
- NPI 1114545431
Anesthesiology, GA
-
- Anesthesiology Physician
- Cleveland, TN
- NPI 1972329324
Anesthesiology, TN
-
- Pediatric Surgery Physician
- Decatur, GA
- NPI 1720285653
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Tennessee, HSC, College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Georgia Anesthesia Services PC
Practice addresses (Care Compare)
1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000
Hospital & facility affiliations
- Hamilton Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130726000457 | GA | Practitioner - Anesthesiology | 5294976643 | Reassigns benefits to 1 organization |
| I20201217000914 | TN | Practitioner - Anesthesiology | 5294976643 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60860 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Anesthesia Services PC | Anesthesiology | Current | Accepting new patients |
| North Georgia Anesthesia Services PC | Anesthesiology | Current | Accepting new patients |
| The Emory Clinic Pediatric Providers | Past | Accepting new patients |
Locations
1250 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-4640
1104 Professional Blvd
Dalton, GA 30720
Phone (706) 226-5533
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 60860 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6335 Hospital Pkwy Ste 111
Johns Creek, GA 30097-1550
Mailing address
6335 Hospital Pkwy Ste 111
Johns Creek, GA 30097-1550
Phone (770) 712-4616
Other names 1
NPPES NPI Registry- Dr. Natalie Jean Moore
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2013.
{
"created_epoch": "1200096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1003092776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6335 HOSPITAL PKWY STE 111",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300971550",
"telephone_number": "770-712-4616",
"fax_number": "678-256-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6335 HOSPITAL PKWY STE 111",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300971550",
"telephone_number": "770-712-4616",
"fax_number": "678-256-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISMAN",
"first_name": "NATALIE",
"middle_name": "MOORE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-12",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "60860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "MOORE",
"middle_name": "JEAN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.