Active NPI
Ognjenka Goga Brkic-Vukotic, M.D.
- Internal Medicine Physician
- Roswell, GA
National Provider Identifier
1023067147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 047576
- Practice address
- 11050 Crabapple Rd
Suite 104 B
Roswell, GA 30075-2489 - Phone
- (770) 645-0017
- Fax
- (770) 645-0224
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 047576 | GA | Primary |
Addresses
Primary practice location
11050 Crabapple Rd
Suite 104 B
Roswell, GA 30075-2489
Mailing address
11050 Crabapple Rd
Suite 104 B
Roswell, GA 30075-2489
Phone (770) 645-0017
Other names 1
- Goga Brkic- Vukotic
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100812000561 | GA | Practitioner - Internal Medicine | 2365584067 | 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 |
|---|---|---|---|
| 047576 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Roswell Internal Medicine, PC | Single Specialty | Current | Accepting new patients |
| Crabapple Internal Medicine, PC | Single Specialty | Past | Accepting new patients |
Locations
11050 Crabapple Rd
Ste 104B
Roswell, GA 30075
Phone (770) 645-0017
Interoperability endpoints
- https://api.platform.athenahealth.com/17820/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/3619/brand/1/csg/1/fhir/r4
- goga.vukotic.1@3619.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Roswell, GA
- NPI 1952580177
GA, Single Specialty
-
- Family Medicine Physician
- Roswell, GA
- NPI 1013991595
Single Specialty
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Atlanta, GA
- NPI 1891725693
-
- Home Health Agency
- Duluth, GA
- NPI 1821635533
-
- Home Health Agency
- Roswell, GA
- NPI 1992736227
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Roswell Internal Medicine, PC
Practice addresses (Care Compare)
11050 Crabapple Rd
Roswell, GA 30075-2489
Phone (770) 645-0017
Hospital & facility affiliations
- Accentcare Home Health of Georgia
- Centerwell Home Health
- Aveanna Home Health
- Wellstar North Fulton Medical Center
- Northside Hospital
- Wellstar Kennestone Regional Medical Center
- Northside Hospital Cherokee
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 90.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.29
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1023067147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11050 CRABAPPLE RD",
"address_2": "SUITE 104 B",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752489",
"telephone_number": "770-645-0017",
"fax_number": "770-645-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 CRABAPPLE RD",
"address_2": "SUITE 104 B",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752489",
"telephone_number": "770-645-0017",
"fax_number": "770-645-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRKIC-VUKOTIC",
"first_name": "OGNJENKA",
"middle_name": "GOGA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "047576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GOGA",
"last_name": "BRKIC- VUKOTIC",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.