Active NPI
B Webb, Inc
- Specialist
- Marietta, GA
National Provider Identifier
1104286707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 053964
- Legal business name
- B WEBB, INC
- Practice address
- 1675 Lower Roswell Rd
Marietta, GA 30318 - Phone
- (404) 388-2757
- NPI assigned
- Feb 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bereaval Webb, MD
- Title
- Physician
- Phone
- (404) 388-2757
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 053964 | GA | Primary |
Addresses
Primary practice location
1675 Lower Roswell Rd
Marietta, GA 30318
Mailing address
889 Venetta Place NW
Atlanta, GA 30318
Phone (404) 388-2757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209069209D | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1675 Lower Roswell Rd
Marietta, GA 30068
Phone (404) 388-2757
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1326149139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456358400000",
"number": "1104286707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "889 VENETTA PLACE NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30318",
"telephone_number": "404-388-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 LOWER ROSWELL RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30318",
"telephone_number": "404-388-2757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B WEBB, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-25",
"last_updated": "2016-02-25",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "BEREAVAL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "404-388-2757",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "GA",
"license": "053964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209069209D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.