Active NPI
Rumyana Georgieva Atanasova, M.D.
- Family Medicine Physician
- Cocoa, FL
National Provider Identifier
1104088301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME100583
- Practice address
- 705 Blake Ave
BLDG G
Cocoa, FL 32922-7100 - Phone
- (321) 633-6391
- Fax
- (321) 633-6441
- NPI assigned
- Jun 28, 2008
- Last updated
- Oct 14, 2011
- Sex
- Female
- 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 | ME100583 | FL | Primary |
Addresses
Primary practice location
705 Blake Ave
BLDG G
Cocoa, FL 32922-7100
Mailing address
PO Box 1137
Melbourne, FL 32902-1137
Phone (321) 952-9696
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH571A | Other | FL | MEDICARE ID - TYPE UNSPECIFIED |
| 000429400 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Health Alliance | Past | Accepting new patients | |
| Brevard Health Alliance, Inc. | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Cocoa, FL
- NPI 1952451239
-
dba BHA Silver Palm Pharmacy
- Community/Retail Pharmacy
- Melbourne, FL
- NPI 1508735150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1104088301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1137",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329021137",
"telephone_number": "321-952-9696",
"fax_number": "321-952-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 BLAKE AVE",
"address_2": "BLDG G",
"city": "COCOA",
"state": "FL",
"postal_code": "329227100",
"telephone_number": "321-633-6391",
"fax_number": "321-633-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATANASOVA",
"first_name": "RUMYANA",
"middle_name": "GEORGIEVA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-28",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME100583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID - TYPE UNSPECIFIED",
"identifier": "CH571A",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000429400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.