Active NPI
Mario Eurico Ravry, M.D.
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1144294471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MARIO EURICO RAVRY, M.D.
- Practice address
- 5667 Peachtree Dunwoody Rd NE
Suite 280
Atlanta, GA 30342-1725 - Phone
- (404) 355-4004
- NPI assigned
- Feb 14, 2006
- 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
- Mr. Mario Ravry, M.D.
- Title
- Physician/Owner
- Phone
- (404) 355-4004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5667 Peachtree Dunwoody Rd NE
Suite 280
Atlanta, GA 30342-1725
Mailing address
3193 Howell Mill Rd NW
Suite 209
Atlanta, GA 30327-2119
Phone (404) 355-4004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7387093 | Other | AETNA |
Other names 1
- Mario Ravry, M.D.
National Provider Directory
National Provider DirectoryLocations
5667 Peachtree Dunwoody Rd
Ste 280
Sandy Springs, GA 30342
Phone (404) 250-4443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144294471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3193 HOWELL MILL RD NW",
"address_2": "SUITE 209",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272119",
"telephone_number": "404-355-4004",
"fax_number": "404-355-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5667 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 280",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421725",
"telephone_number": "404-355-4004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIO EURICO RAVRY, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAVRY",
"authorized_official_first_name": "MARIO",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "404-355-4004",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7387093",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mario Ravry, M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.