Mario Ravry, M.D., LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARIO RAVRY, M.D., LLC

Practice address

5505 Peachtree Dunwoody Rd NE
Suite 650
Atlanta, GA 30342-1705

Phone

(404) 459-9340

Fax

(404) 459-9347

NPI assigned

Feb 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mario Ravry, M.D.

Title

Physician/Partner

Phone

(404) 459-9340

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1104890417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421705",
            "telephone_number": "404-459-9340",
            "fax_number": "404-459-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421705",
            "telephone_number": "404-459-9340",
            "fax_number": "404-459-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO RAVRY, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "RAVRY",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "404-459-9340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA4579",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Marin, NNP
• Jaza Monique Marina, MD
• Christopher David Marine, M.D.
• Hallie Lin Marino, APRN CNS
• Mario Eurico Ravry, M.D.
• Marion & Associates Family Care
• Marion Hargett
• Alicia Marion, LCSW
• Chelsea Jillian Marion, MD
• Samuel Marion, CSA

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.