Active NPI
Brian Sydow, MD
- Diagnostic Radiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 059028
- Practice address
- 1000 Johnson Ferry Rd NE
Radiology Department
Atlanta, GA 30342-1606 - Phone
- (404) 851-8000
- NPI assigned
- Jan 11, 2007
- 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 | MT049745 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 059028 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd NE
Radiology Department
Atlanta, GA 30342-1606
Mailing address
5605 Glenridge Dr Ste 325
Atlanta, GA 30342-1365
Phone (678) 553-7783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350377757 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 662-2438
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 662-2438
11014 Taconic Way
Johns Creek, GA 30097-1937
Phone (800) 475-6112
1400 Hembree Rd
Suite 150
Roswell, GA 30076-5711
Phone (404) 851-6577
185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 859-6700
2859 N Decatur Rd
Decatur, GA 30033-5911
Phone (404) 851-6577
3400 Old Milton Pkwy
Suite C110
Alpharetta, GA 30005-3769
Phone (404) 851-6577
4800 Olde Towne Pkwy
Suite 100
Marietta, GA 30068-4357
Phone (404) 851-6577
758 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3386
Phone (404) 662-2438
Hospital & facility affiliations
- Northside Hospital Forsyth
- St Lukes Hospital
- Northside Hospital Cherokee
- Northside Hospital
- St Luke'S Hospital - Monroe Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.75 of 100
- Quality
- 96.18
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT049745 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gem State Radiology LLP | Diagnostic Radiology | Current | Accepting new patients |
| Intermountain Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Progressive Physician Assoc Inc | Diagnostic Radiology | Current | Accepting new patients |
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Intermountain Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Pontchartrain Diagnostic Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Intermountain Medical Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Open MRI and CT Specialists of Stockbridge | Diagnostic Radiology | Past | Accepting new patients |
Locations
100 Galleria Pkwy SE
Ste 1450
Atlanta, GA 30339
Phone (770) 952-8899
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
5445 Meridian Mark Rd
Ste 450
Sandy Springs, GA 30342
Phone (404) 459-1875
5605 Glenridge Dr
Ste 325
Sandy Springs, GA 30342
Phone (678) 553-7783
927 W Myrtle St
Boise, ID 83702
Phone (208) 367-7510
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
323 E Riverside Dr
Ste 108
Eagle, ID 83616
Phone (208) 367-5700
875 S Vanguard Way
Ste 100
Meridian, ID 83642
Phone (208) 954-8100
2929 E Magic View Dr
Meridian, ID 83642
Phone (208) 367-8222
185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1013960657
-
- Diagnostic Radiology Physician
- Meridian, ID
- NPI 1679520415
-
- Nuclear Radiology Physician
- Stockbridge, GA
- NPI 1871544098
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Eagle, ID
- NPI 1326247511
-
- Diagnostic Radiology Physician
- Covington, LA
- NPI 1760734685
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
-
- General Acute Care Hospital
- Stroudsburg, PA
- NPI 1396194197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1124178405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 GLENRIDGE DR STE 325",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421365",
"telephone_number": "678-553-7783",
"fax_number": "678-553-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD NE",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "404-851-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYDOW",
"first_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MT049745",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "059028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350377757",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.