Active NPI
Bobb G Cucher, MD
- Internal Medicine Physician
- Atlanta,, GA
National Provider Identifier
1003803347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 018479
- Practice address
- 5669 Peachtree Dunwoody Rd. NE
Suite 390
Atlanta,, GA 30342-1736 - Phone
- (678) 843-6400
- Fax
- (678) 843-6405
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 018479 | GA | Primary |
Addresses
Primary practice location
5669 Peachtree Dunwoody Rd. NE
Suite 390
Atlanta,, GA 30342-1736
Mailing address
1838 American Way
Lawrenceville, GA 30043-6611
Phone (770) 995-7622
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055003709D | Medicaid | GA | |
| 055003709E | Medicaid | GA | |
| 055003709C | Medicaid | GA | |
| 018479 | Other | GA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018479 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Internal Medicine | Current | Accepting new patients |
| Bobb G Cucher MD and Caroline M Abruzese MD LLC | Internal Medicine | Past | Accepting new patients |
| The Medical Group of Saint Joseph'S, LLC | Past | Accepting new patients |
Locations
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
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
- Lagrange, GA
- NPI 1407864168
Internal Medicine
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1144389388
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1669668547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1003803347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1838 AMERICAN WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436611",
"telephone_number": "770-995-7622",
"fax_number": "770-995-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5669 PEACHTREE DUNWOODY RD. NE",
"address_2": "SUITE 390",
"city": "ATLANTA,",
"state": "GA",
"postal_code": "303421736",
"telephone_number": "678-843-6400",
"fax_number": "678-843-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCHER",
"first_name": "BOBB",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "018479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055003709D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055003709E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055003709C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "018479",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta,, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.