Active NPI
John C Lipman, M.D.
- Vascular & Interventional Radiology Physician
- Smyrna, GA
National Provider Identifier
1124096219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 034012
- Practice address
- 3670 Highlands Pkwy SE
Smyrna, GA 30082-5184 - Phone
- (770) 953-2600
- Fax
- (770) 953-2602
- NPI assigned
- Mar 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 034012 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 034012 | GA | Primary |
Addresses
Primary practice location
3670 Highlands Pkwy SE
Smyrna, GA 30082-5184
Mailing address
3670 Highlands Pkwy SE
Smyrna, GA 30082-5184
Phone (770) 953-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000468905Q | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Georgetown University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3670 Highlands Pkwy SE
Smyrna, GA 30082-5184
Phone (770) 953-2600
3670 Highlands Sepkwy
Smyrna, GA 30082-5184
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ir Mi Mso PLLC | Diagnostic Radiology | Current | Accepting new patients |
| North Atlanta Scan Associates Inc | Past | Accepting new patients | |
| Radiology Associates of Atlanta, PA | Diagnostic Radiology | Past | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Radiology Associates of Dekalb PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
3670 Highlands Pkwy SE
Smyrna, GA 30082
Phone (770) 528-9574
Organizations & group practices 6
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.
-
- Vascular & Interventional Radiology Physician
- Smyrna, GA
- NPI 1891763140
-
- Vascular & Interventional Radiology Physician
- Southfield, MI
- NPI 1255201786
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Radiology Clinic/Center
- Alpharetta, GA
- NPI 1700826096
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1528043718
-
- Diagnostic Radiology Physician
- Decatur, GA
- NPI 1245206119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1124096219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3670 HIGHLANDS PKWY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825184",
"telephone_number": "770-953-2600",
"fax_number": "770-953-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3670 HIGHLANDS PKWY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825184",
"telephone_number": "770-953-2600",
"fax_number": "770-953-2602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPMAN",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "034012",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "034012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000468905Q",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.