Individual provider Active NPI

Keith C Raziano, MD

  • Physical Medicine & Rehabilitation Physician
  • Sandy Springs, GA
National Provider Identifier
1194781070
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
050988 Issued in GA
Practice address
5730 Glenridge Dr NE
Suite 100
Sandy Springs, GA 30328-6141
Phone
(404) 816-3000
Fax
(678) 904-5797
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 050988 GA Primary

Addresses

Primary practice location

5730 Glenridge Dr NE
Suite 100
Sandy Springs, GA 30328-6141

Mailing address

5730 Glenridge Dr NE
Suite 100
Sandy Springs, GA 30328-6141
Phone (404) 816-3000

Other practice location 1

1035 Southcrest Dr Ste 115
Stockbridge, GA 30281-6104
Phone (678) 275-2200

Other identifiers 3

IdentifierTypeStateIssuer
1710946322OtherGAGROUP NPI NUMBER
646007054AMedicaidGA
7627358OtherGACIGNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104000696 GA Practitioner - Interventional Pain Management 6608839360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of Miami, LM Miller School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5730 Glenridge Dr
Suite 100
Atlanta, GA 30328-5579

5730 Glenridge Dr
Suite 115
Sandy Springs, GA 30328-6141
Phone 40481630002019

790 Church St NE
Suite 550
Marietta, GA 30060-8958
Phone (770) 419-9902

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Jun 28, 2004 Accepting new patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Jun 28, 2004 Accepting new patients
Physicians Spine and Rehab Specialists of Ga PastSince Jun 3, 2025 Accepting new patients

Locations

1060 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 314-1910

3855 Pleasant Hill Rd
Ste 380
Duluth, GA 30096
Phone (404) 816-3000

790 Church St NE
Ste 520
Marietta, GA 30060
Phone (404) 816-3000

790 Church St NE
Ste 550
Marietta, GA 30060
Phone (770) 419-9902

5730 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (404) 816-3000

7454 Hannover Pkwy S
Ste 245
Stockbridge, GA 30281
Phone (678) 884-5262

Interoperability endpoints

  • Direct secure messaging: keith.raziano@tphys.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1194781070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 GLENRIDGE DR NE",
            "address_2": "SUITE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303286141",
            "telephone_number": "404-816-3000",
            "fax_number": "678-904-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 GLENRIDGE DR NE",
            "address_2": "SUITE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303286141",
            "telephone_number": "404-816-3000",
            "fax_number": "678-904-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Southcrest Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302816104",
            "country_code": "US",
            "telephone_number": "678-275-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZIANO",
        "first_name": "KEITH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "050988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1710946322",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "646007054A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7627358",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.