Active NPI
Eduardo Azziz-Baumgartner, MD
- Family Medicine Physician
- Atlanta, GA
National Provider Identifier
1033319801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 056516
- Practice address
- 1600 Clifton Rd NE
Ms A32
Atlanta, GA 30329-4018 - Phone
- (404) 639-1744
- Fax
- (404) 639-3866
- NPI assigned
- Jul 20, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 056516 | GA | Primary |
Addresses
Primary practice location
1600 Clifton Rd NE
Ms A32
Atlanta, GA 30329-4018
Mailing address
1600 Clifton Rd NE
Ms A32
Atlanta, GA 30329-4018
Phone (404) 639-1744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056516 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Family Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1033319801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CLIFTON RD NE",
"address_2": "MS A32",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294018",
"telephone_number": "404-639-1744",
"fax_number": "404-639-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CLIFTON RD NE",
"address_2": "MS A32",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294018",
"telephone_number": "404-639-1744",
"fax_number": "404-639-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZZIZ-BAUMGARTNER",
"first_name": "EDUARDO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "056516",
"primary": true
}
],
"identifiers": [],
"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 Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.