Individual provider Active NPI

Judith Lila Silverstein, M.D.

  • Dermatology Physician
  • Roswell, GA
National Provider Identifier
1033118146
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
032990 Issued in GA
Practice address
1265 Upper Hembree Rd
Suite 100
Roswell, GA 30076-1143
Phone
(770) 751-1133
Fax
(770) 751-7410
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 032990 GA Primary

Addresses

Primary practice location

1265 Upper Hembree Rd
Suite 100
Roswell, GA 30076-1143

Mailing address

1265 Upper Hembree Rd
Suite 100
Roswell, GA 30076-1143
Phone (770) 751-1133

Other names 1

  • Dr. Judith Lila Radnoti Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsilverstein@directaddress.net Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070803000249 GA Practitioner - Dermatology 6709977812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032990GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Center for Dermatologic Diseases PC Dermatology CurrentSince Jul 1, 1966 Accepting new patients

Locations

1265 Upper Hembree Rd
Ste 100
Roswell, GA 30076
Phone (770) 751-1133

11685 Alpharetta Hwy
Ste 300
Roswell, GA 30076
Phone (678) 325-6611

5673 Peachtree Dunwoody Rd
Ste 850
Sandy Springs, GA 30342
Phone (404) 252-4333

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1033118146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 UPPER HEMBREE RD",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761143",
            "telephone_number": "770-751-1133",
            "fax_number": "770-751-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UPPER HEMBREE RD",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761143",
            "telephone_number": "770-751-1133",
            "fax_number": "770-751-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERSTEIN",
        "first_name": "JUDITH",
        "middle_name": "LILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "032990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsilverstein@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5673 Peachtree Dunwoody Rd Ste 850",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303425023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "RADNOTI",
            "middle_name": "LILA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.