Individual provider Active NPI

Lawrence David Berman, M.D.

  • Interventional Pain Medicine Physician
  • Atlanta, GA
National Provider Identifier
1184626640
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
035374 Issued in GA
Practice address
4535 Winters Chapel Rd Ste 100
Atlanta, GA 30360-2705
Phone
(678) 580-1862
Fax
(678) 580-1648
NPI assigned
Aug 15, 2005
Last updated
May 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 035374 GA
Anesthesiology Physician 207L00000X 17570 AL
Pain Medicine (Anesthesiology) Physician 207LP2900X 035374 GA
Interventional Pain Medicine Physician 208VP0014X 035374 GA Primary

Addresses

Primary practice location

4535 Winters Chapel Rd Ste 100
Atlanta, GA 30360-2705

Mailing address

245 Snowgoose CT
Alpharetta, GA 30022-2466
Phone (706) 302-4750

Other practice location 1

413 Pottery Factory Dr
Commerce, GA 30529-6682
Phone (706) 423-9449

Other identifiers 2

IdentifierTypeStateIssuer
000495778EMedicaidGA
000495778LMedicaidGA

Other names 1

  • Larry Berman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17570ALMDAnesthesiology Physician
035374GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Medical Clinic L L C CurrentSince Aug 15, 2017 Accepting new patients
Hutcheson Anesthesia & Pain Treatment, LLC Anesthesiology Past Accepting new patients
Battlefield Anesthesia, Inc Anesthesiology Past Accepting new patients
Latrobe Anesthesia Associates, Inc Anesthesiology Past Accepting new patients
Anes. Assc. of N. Alabama Anesthesiology Past Accepting new patients
Anesthesia Care Enterprises, LLC Anesthesiology Past Accepting new patients

Locations

1801 Peachtree St NE
Ste 250
Atlanta, GA 30309
Phone (404) 323-3233

197 14th St NW
Ste 300
Atlanta, GA 30318
Phone (404) 872-8837

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1184626640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 SNOWGOOSE CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222466",
            "telephone_number": "706-302-4750",
            "fax_number": "706-423-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 WINTERS CHAPEL RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303602705",
            "telephone_number": "678-580-1862",
            "fax_number": "678-580-1648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 Pottery Factory Dr",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "GA",
            "postal_code": "305296682",
            "country_code": "US",
            "telephone_number": "706-423-9449",
            "fax_number": "706-423-9443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "LAWRENCE",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "035374",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "17570",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "035374",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "035374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000495778E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000495778L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "BERMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.