Individual provider Active NPI

Natalie Moore Reisman, M.D.

  • Anesthesiology Physician
  • Johns Creek, GA
National Provider Identifier
1003092776
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
60860 Issued in GA
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.

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 44 clinicians

Practice addresses (Care Compare)

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000

Hospital & facility affiliations

  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
60860GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Anesthesia Services PC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
North Georgia Anesthesia Services PC Anesthesiology CurrentSince Aug 1, 2024 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)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 60860 GA Primary

Addresses

NPPES NPI Registry

Primary 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 Former name

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

Verify at the official NPI Registry.