Active NPI
Lawrence David Berman, M.D.
- Interventional Pain Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 035374
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000495778E | Medicaid | GA | |
| 000495778L | Medicaid | GA |
Other names 1
- Larry Berman
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17570 | AL | MD | Anesthesiology Physician |
| 035374 | GA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Medical Clinic L L C | Current | 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.
-
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
- NPI 1891018016
-
- Certified Registered Nurse Anesthetist
- Fort Oglethorpe, GA
- NPI 1467402610
Anesthesiology
-
- Anesthesiology Physician
- Fort Oglethorpe, GA
- NPI 1235228735
-
- Anesthesiology Physician
- Cullman, AL
- NPI 1790795011
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1861450371
-
- Anesthesiology Physician
- Latrobe, PA
- NPI 1760488902
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.