Organization Active NPI

Mario Eurico Ravry, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1144294471
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7387093OtherAETNA

Other names 1

  • Mario Ravry, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.