Active NPI
Jefrey D Lieberman MD PC
- Rheumatology Physician
- Decatur, GA
National Provider Identifier
1124209481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- JEFREY D LIEBERMAN MD PC
- Practice address
- 2680 Lawrenceville Hwy Ste 201
Decatur, GA 30033-2526 - Phone
- (404) 296-4911
- Fax
- (404) 296-1512
- NPI assigned
- Nov 15, 2007
- 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
- Jefrey D Lieberman, MD
- Title
- Owner
- Phone
- (404) 296-4911
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
2680 Lawrenceville Hwy Ste 201
Decatur, GA 30033-2526
Mailing address
2680 Lawrenceville Hwy Ste 201
Decatur, GA 30033-2526
Phone (404) 296-4911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2680 Lawrenceville Hwy
Ste 201
Decatur, GA 30033
Phone (404) 296-4911
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHBJBD
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Decatur, GA
- NPI 1366525057
-
- Rheumatology Physician
- Decatur, GA
- NPI 1417488313
-
- Physician Assistant
- Atlanta, GA
- NPI 1003944778
-
- Allergy & Immunology Physician
- Atlanta, GA
- NPI 1891891982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717718400000",
"number": "1124209481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 LAWRENCEVILLE HWY STE 201",
"city": "DECATUR",
"state": "GA",
"postal_code": "300332526",
"telephone_number": "404-296-4911",
"fax_number": "404-296-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 LAWRENCEVILLE HWY STE 201",
"city": "DECATUR",
"state": "GA",
"postal_code": "300332526",
"telephone_number": "404-296-4911",
"fax_number": "404-296-1512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFREY D LIEBERMAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-15",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "JEFREY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-296-4911",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.