Individual provider Active NPI

John C Lipman, M.D.

  • Vascular & Interventional Radiology Physician
  • Smyrna, GA
National Provider Identifier
1124096219
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
034012 Issued in GA
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

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000468905QMedicaidGA

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
I20040611001160 GA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6103809843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Georgetown University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Interventional Institute LLCGroup PAC ID 5193782845, 2 clinicians

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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.