Individual provider Active NPI

Ugo Bitussi

  • Physical Medicine & Rehabilitation Physician
  • Duluth, GA
National Provider Identifier
1033525878
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
080266 Issued in GA
Practice address
3215 McClure Bridge Rd
Duluth, GA 30096-3223
Phone
(404) 673-0308
Fax
(770) 664-7379
NPI assigned
Jul 1, 2014
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 080266 GA Primary

Addresses

Primary practice location

3215 McClure Bridge Rd
Duluth, GA 30096-3223

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-9055

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
I20181018001666 GA Practitioner - Physical Medicine and Rehabilitation 3971856063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Pmandr IncGroup PAC ID 3971995382, 6 clinicians

Practice addresses (Care Compare)

3215 McClure Bridge Rd
Duluth, GA 30096-3223
Phone (404) 938-9618

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.21 of 100Reported as group
Quality
43.33
Improvement activities
40
Cost
46.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
080266GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation Consultants PC Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
Atlanta PM&R Inc Single Specialty CurrentSince Jan 1, 2022 Accepting new patients

Locations

1595 Peachtree Pkwy
Ste 20
Cumming, GA 30041

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000

3000 Old Alabama Rd
Ste 119
Johns Creek, GA 30022
Phone (470) 366-3386

3850 Safehaven Dr
Lawrenceville, GA 30044
Phone (770) 478-6091

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

210 Collins Industrial Way
Lawrenceville, GA 30043
Phone (678) 442-0777

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111

601 Northolt Pkwy
Suwanee, GA 30024
Phone (770) 904-3220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1033525878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 MCCLURE BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963223",
            "telephone_number": "404-673-0308",
            "fax_number": "770-664-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITUSSI",
        "first_name": "UGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "080266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.