Active NPI
Joseph Berger, MD, RPH
- Psychiatry Physician
- Atlanta, GA
National Provider Identifier
1164526117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 047397
- Practice address
- 1 Dunwoody Park
Suite # 140
Atlanta, GA 30338-7404 - Phone
- (770) 730-8912
- Fax
- (770) 390-0877
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 047397 | GA | Primary |
Addresses
Primary practice location
1 Dunwoody Park
Suite # 140
Atlanta, GA 30338-7404
Mailing address
1 Dunwoody Park
Suite # 140
Atlanta, GA 30338-7404
Phone (770) 730-8912
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160630000174 | GA | Order and Referring Only - Psychiatry | 0840274874 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1164526117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DUNWOODY PARK",
"address_2": "SUITE # 140",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387404",
"telephone_number": "770-730-8912",
"fax_number": "770-390-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DUNWOODY PARK",
"address_2": "SUITE # 140",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387404",
"telephone_number": "770-730-8912",
"fax_number": "770-390-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "047397",
"primary": true
}
],
"identifiers": [],
"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 Aug 27, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.